NPIMap

Organization Active NPI

Heritage Management Services, LLC

  • Home Health Agency
  • Oklahoma City, OK
National Provider Identifier
1497738447
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7698 Issued in OK
Legal business name
HERITAGE MANAGEMENT SERVICES, LLC
Practice address
5104 N Francis Ave Ste 100
Oklahoma City, OK 73118-6042
Phone
(405) 778-6270
Fax
(405) 778-6276
NPI assigned
Nov 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Ms. Terri G King, CEO/OWNER
Title
Ceo/Administrator
Phone
(405) 778-6270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7698 OK Primary

Addresses

Primary practice location

5104 N Francis Ave Ste 100
Oklahoma City, OK 73118-6042

Mailing address

5104 N Francis Ave Ste 100
Oklahoma City, OK 73118-6042
Phone (405) 778-6270

Other identifiers 1

IdentifierTypeStateIssuer
100262970AMedicaidOK

Other names 1

  • EnTrust Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051118000230 OK Part A Provider - Home Health Agency 6709805757 Practice locations: Oklahoma City, OK

Home health agency certification: CCN 377639

Legal name
HERITAGE MANAGEMENT SERVICES, LLC
Doing business as
ENTRUST HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 7, 2001
Last certification
Mar 1, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 12, 2000 in OK
Enrollment address
5104 N Francis Avenue
Suite 100
Oklahoma City, OK 73118-6042

Care Compare: Home health agency

Medicare Care Compare
Listed as
Entrust Home HealthCCN 377639
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jun 7, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0975667Heritage Management Services, LLC5104 N Francis Avenue, Suite 100, Oklahoma City, OK 73118Certificate of waiverJul 12, 2028

National Provider Directory

National Provider Directory

Locations

1700 N Broadway St
Ste C
Moore, OK 73160
Phone (405) 794-9200

5104 N Francis Ave
Ste 100
Oklahoma City, OK 73118
Phone (405) 778-6270

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Terri King Individual 5% Or Greater Direct Ownership Interest Apr 1, 2009
W-2 Managing Employee Apr 1, 2009
Physician'S Choice Health Care LLC Organization, Oklahoma City, OK LLC 5% Or Greater Direct Ownership Interest May 21, 2007
Operational/Managerial Control May 21, 2007
Channing King Individual 5% Or Greater Direct Ownership Interest Aug 1, 2016 20%

Practitioners & affiliated clinicians

Affiliated clinicians 13

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1497738447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 N FRANCIS AVE STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731186042",
            "telephone_number": "405-778-6270",
            "fax_number": "405-778-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 N FRANCIS AVE STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731186042",
            "telephone_number": "405-778-6270",
            "fax_number": "405-778-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "405-778-6270",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO/OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262970A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EnTrust Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.