Organization Active NPI

Heartsworth Operations LLC

  • Assisted Living Facility
  • Vinita, OK
National Provider Identifier
1700504768
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HEARTSWORTH OPERATIONS LLC
Doing business as
Heartsworth House Assisted Living
Practice address
802 N Brewer St
Vinita, OK 74301-1429
Phone
(918) 256-7856
Fax
(918) 256-7857
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
David Ganz
Title
Manager
Phone
(832) 422-8848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

802 N Brewer St
Vinita, OK 74301-1429

Mailing address

802 N Brewer St
Vinita, OK 74301-1429
Phone (918) 256-7856

Other names 1

  • Heartsworth House Assisted Living Doing business as

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
37D2189691Heartsworth House Assisted Living802 N Brewer St, Vinita, OK 74301Certificate of waiverAug 3, 2026

National Provider Directory

National Provider Directory

Locations

802 N Brewer St
Vinita, OK 74301
Phone (918) 256-7856

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1700504768",
    "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": "918-256-7856",
            "fax_number": "918-256-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N BREWER ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743011429",
            "telephone_number": "918-256-7856",
            "fax_number": "918-256-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTSWORTH OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-422-8848"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartsworth House Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vinita, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.