BHCP Heritage Villa Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BHCP HERITAGE VILLA OPCO, LLC

Doing business as

Heritage Villa Nursing Center

Practice address

1244 Woodland Loop
Bartlesville, OK 74006-5224

Phone

(918) 335-3222

NPI assigned

Jul 14, 2015

Last updated

Oct 29, 2024By 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

Isaac Dole

Title

Manager

Phone

(773) 645-9246

Specialties & licenses 1

Addresses

Other names 1

• Heritage Villa Nursing Center Doing business as

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1568846194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B-34572",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121576",
            "telephone_number": "773-645-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 WOODLAND LOOP",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740065224",
            "telephone_number": "918-335-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHCP HERITAGE VILLA OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-645-9246"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Villa Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Berkley, LMFT
• Marissa L Bernabe, APRN
• Rodger W Berry II
• Stephannie J Bethel, COTA
• Zeyfoula Beytoula, MD
• Shannon Sue Bible
• Rita S Bibles
• Margaret E. Bishop, UA COORDINATOR DATIA
• Vance Wayne Blackwell Jr.
• Robert Weston Blasdel, MS, LADC,LMFT

• Skilled Nursing Facility in Bartlesville, OK
• Providers in Bartlesville, 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 Oct 29, 2024; 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.