LEGEND AT JEFFERSON'S GARDEN
NPI 1982938072
Residential Treatment Facility, Physical Disabilities in Edmond, OK

NPI Status: Active since September 23, 2009

Contact Information

15401 N PENNSYLVANIA AVE
EDMOND, OK
ZIP 73013
Phone: (405) 715-1717
Fax: (405) 715-9017

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  • Organization
  • Residential Treatment Facility, Physical...
  • CLIA Number: 37D2192125
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 09-03-2026

About LEGEND AT JEFFERSON'S GARDEN

This page provides the complete NPI Profile along with additional information for Legend At Jefferson's Garden, a provider established in Edmond, Oklahoma operating as a Residential Treatment Facility, Physical Disabilities. The healthcare provider is registered in the NPI registry with number 1982938072 assigned on September 2009. The practitioner's primary taxonomy code is 320700000X with license number AL5517-5517 (OK). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Nelda Randall (Director)

NPI
1982938072
Provider Name
LEGEND AT JEFFERSON'S GARDEN
Entity Type
Organization
Location Address
15401 N PENNSYLVANIA AVE EDMOND, OK 73013
Location Phone
(405) 715-1717
Location Fax
(405) 715-9017
Mailing Address
15401 N PENNSYLVANIA AVE EDMOND, OK 73013
Mailing Phone
(405) 715-1717
Mailing Fax
(405) 715-9017
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2009
Last Update Date
09-23-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Physical Disabilities

Taxonomy Code
320700000X
Type
Residential Treatment Facilities
License No.
AL5517-5517
License State
OK
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. NELDA RANDALL

Authorized Official Title
DIRECTOR
Authorized Official Phone
(405) 715-1717

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2192125
Facility Type
Assisted Living Facility
Certificate Effective Date
September 04, 2024
Certificate Expiration Date
September 03, 2026
Laboratory Director
RILEY LOVING
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Legend At Jefferson's Garden to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1982938072, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 1 + 8 + 3 + 1 + 6 + 0 + 1 + 4 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1982938072.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982938072, enumerated as an "organization" on September 23, 2009.

The provider is located at 15401 N PENNSYLVANIA AVE EDMOND, OK 73013 and the phone number is (405) 715-1717.

Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.