Heartsworth Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL1802 Issued in OK

Legal business name

HEARTSWORTH SENIOR LIVING, LLC

Practice address

3325 French Park Dr
Edmond, OK 73034-7277

Phone

(405) 285-8166

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

Scott Pilgrim

Title

Manager

Phone

(405) 285-8166

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartsworth House Doing business as

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1477919959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N BREWER ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743011429",
            "telephone_number": "405-285-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 FRENCH PARK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347277",
            "telephone_number": "405-285-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTSWORTH SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "PILGRIM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-285-8166"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "AL1802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ADVANATGE WAIVER",
            "identifier": "AL1802-1802",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartsworth House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Edmond, OK
• Providers in Edmond, OK by specialty
• Assisted Living Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.