Hartshorne Health Services, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH61116111 Issued in OK

Legal business name

HARTSHORNE HEALTH SERVICES, LLC

Practice address

1300 North Dr
Hartshorne, OK 74547-4400

Phone

(918) 297-7000

Fax

(918) 297-3487

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tom M Montgomery

Title

Owner

Phone

(918) 683-9407

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beare Manor Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Skilled nursing facility certification: CCN 375387

Legal name

HARTSHORNE HEALTH SERVICES, LLC

Doing business as

BEARE MANOR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 28, 2000

Last certification

Jul 26, 2024

Beds

60

Ownership / control type

Partnership

Most recent change of ownership

Feb 1, 2005

Organization structure

LLCProprietary

Incorporated

Jul 30, 2003 in OK

Enrollment address

1300 North Drive
Hartshorne, OK 74547-4400

Nursing home name

BEARE MANOR

Listed as

Beare ManorCCN 375387

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

Jun 28, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6039.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Robert Anderson, DO

  • Family Medicine Physician
  • Gore, OK
  • NPI 1235130709
  NPD (past)
• Gerald D Rana II, D.O.

  • Family Medicine Physician
  • Wilburton, OK
  • NPI 1588681126
  NPD (past)

Affiliated clinicians 1

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

• Gerald D Rana II, D.O.

  • Family Medicine Physician
  • Wilburton, OK
  • NPI 1588681126

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1871529412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 BETTY JANE LN",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031581",
            "telephone_number": "918-683-9407",
            "fax_number": "918-683-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NORTH DR",
            "city": "HARTSHORNE",
            "state": "OK",
            "postal_code": "745474400",
            "telephone_number": "918-297-7000",
            "fax_number": "918-297-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSHORNE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-683-9407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH61116111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200055510A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beare Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nelson Eddie Dickenson, B.A. , C.M. , R.S.S.
• Dow Residential Care Facility Inc
• Rhonda Anne Dugan
• Lexie Encisos Franco
• Jayme C Goad
• Hartshorne Public School
• Valerie Ann Hinton, MSHR, LPC
• Courtney Michelle Levens
• Cassidy Loyd
• Virginia Mahan

• Nursing Facility/Intermediate Care Facility in Hartshorne, OK
• Providers in Hartshorne, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.