OrganizationActive
Legend at Jefferson'S Garden
NPI 1982938072 · Physical Disabilities Residential Treatment Facility · Edmond, OK
Provider details
- NPI number
- 1982938072
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nelda Randall, Director(405) 715-1717
- License
- AL5517-5517 (OK)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15401 N Pennsylvania Ave
Edmond, OK 73013
Phone: (405) 715-1717
Fax: (405) 715-9017
Street-level locationGet directions
Mailing address
15401 N Pennsylvania Ave
Edmond, OK 73013
Registry dates
- Enumerated
- 2009-09-23
- Last updated
- 2009-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.