Heatheridge Health Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HEATHERIDGE HEALTH CARE, LLC

Doing business as

Heatheridge Assisted Living & Residential Care Community

Practice address

2130 S 85TH East Ave
Tulsa, OK 74129-3066

Phone

(918) 622-9191

Fax

(918) 622-9205

NPI assigned

Jun 19, 2014

Last updated

Dec 2, 2015By 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

Judah Bienstock

Title

Managing Member

Phone

(314) 631-3000

Specialties & licenses 1

Addresses

Other names 1

• Heatheridge Assisted Living & Residential Care Community Doing business as

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1508270380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 S 85TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741293066",
            "telephone_number": "918-622-9191",
            "fax_number": "918-622-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 S 85TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741293066",
            "telephone_number": "918-622-9191",
            "fax_number": "918-622-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHERIDGE HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "BIENSTOCK",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-631-3000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heatheridge Assisted Living & Residential Care Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dean Heath
• Rebecca Heath, OD
• Winona Heath
• Pamela Sue Heathco, LPC
• Heather B Summers MD PC
• Ashley Kay Heatherman, MSW
• Jamie Heatley, RN
• Diane M Heaton, MD
• Christopher Fife Hebertson, M.D.
• Darrell Heck, M.D.

• Assisted Living Facility in Tulsa, OK
• Providers in Tulsa, 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 Dec 2, 2015; 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.