Country Lane Cottage #4 – Intellectual Disabilities Intermediate Care Facility, NPI 1912025982

Country Lane Cottage #4 is a healthcare provider. based in Edmond, Oklahoma. specializing in Intellectual Disabilities Intermediate Care Facility. The organization holds a License No. NH5618 (OK). The NPI Number for Country Lane Cottage #4 is 1912025982

Main info

Organization
Name
Country Lane Cottage #4
NPI
1912025982
Phone
(405) 285-8166
Address
P.O. BOX 990
Authorized Official
SCOTT PILGRIM MANAGING MEMBER
Enumeration Date
27 March 2007
Last Update Date
16 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Country Lane Cottage #4

  • P.O. BOX 990

    EDMOND, OK 73083

    Phone: (405) 285-8166

    Fax: (405) 285-8177

    Type: Mailing

  • 304 E 7TH ST

    BEGGS, OK 74421

    Phone: (918) 267-3362

    Fax: (918) 267-3344

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73083)

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Reviews

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Frequently asked questions

Where can patients find Country Lane Cottage #4's NPI?
You can confirm Country Lane Cottage #4 with NPI 1912025982; it appears in the national provider directory.
Does this profile mean Country Lane Cottage #4 is currently active?
Yes — Country Lane Cottage #4 appears active in the national provider directory.
What kind of provider is Country Lane Cottage #4?
The page reflects Intellectual Disabilities Intermediate Care Facility for Country Lane Cottage #4. Clinical services aligned with this taxonomy classification.
What location metadata exists for Country Lane Cottage #4?
The page summarizes Edmond, Oklahoma for Country Lane Cottage #4; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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