Bedlam Properties, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEDLAM PROPERTIES, LLC

Doing business as

Hillcrest Manor

Practice address

1805 E 15TH St
Tulsa, OK 74104-4610

Phone

(918) 622-4799

Fax

(918) 622-4798

NPI assigned

Apr 3, 2007

Last updated

Aug 26, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark Lietzke

Title

Ceo

Phone

(918) 622-4799

Specialties & licenses 1

Addresses

Other names 1

• Hillcrest Manor Doing business as

Tax ID family

Bedlam Properties LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Bedlam Properties, LLC

  dba Hillcrest Manor

  • Skilled Nursing Facility
  • Blackwell, OK
  • NPI 1053300269
  NPD tax ID
• Bedlam Properties, LLC

  dba Blackwell Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Blackwell, OK
  • NPI 1952390163
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1093836280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 E 15TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044610",
            "telephone_number": "918-622-4799",
            "fax_number": "918-622-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E 15TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044610",
            "telephone_number": "918-622-4799",
            "fax_number": "918-622-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDLAM PROPERTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "LIETZKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-622-4799",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Belinda Becktol
• Justin Michael Beckwith, B.S.N. R.N.
• Becoming Her Counseling, PLLC
• Ranay Lynn Bedard, RN, IBCLC
• Ajay R Bedekar, M.D.
• Victoria Sarah Bedros, DO
• Mackenzie Bedwell
• Andrea Lavette Bee
• Nicholas Beebe
• Ben Daniel Beeler, D.C.

• Skilled Nursing Facility in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.