HEATHERIDGE HEALTH CARE LLC NPI 1508270380

NPI Information

HEATHERIDGE HEALTH CARE, LLC is an assisted living facility in Tulsa, OK. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. HEATHERIDGE HEALTH CARE, LLC NPI is 1508270380. The provider is registered as an organization entity type.
The provider Is Doing Business As Heatheridge Assisted Living & Residential Care Community.

The provider's business location address is:

2130 S 85TH EAST AVE
TULSA, OK
ZIP 74129-066
Phone: (918) 622-9191
Fax: (918) 622-9205

The provider's authorized official is Judah Bienstock .
The authorized official title is Managing Member and has the following contact phone number (314) 631-3000.

The CLIA number assigned to this NPI record is 37D2195225 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2014 and was last updated on 12/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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