HEARTSWORTH SENIOR LIVING LLC NPI 1477919959

NPI Information

NPI: 1477919959
Provider Name: HEARTSWORTH SENIOR LIVING, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Doing Business As: HEARTSWORTH HOUSE
CLIA Number: 37D0920250
Address: 3325 FRENCH PARK DR
EDMOND, OK
ZIP 73034
Phone: (405) 285-8166

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NPI Details

HEARTSWORTH SENIOR LIVING, LLC is an assisted living facility in Edmond, 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. HEARTSWORTH SENIOR LIVING, LLC NPI is 1477919959. The provider is registered as an organization entity type.
The provider Is Doing Business As Heartsworth House.

The provider's business location address is:

3325 FRENCH PARK DR
EDMOND, OK
ZIP 73034-277
Phone: (405) 285-8166

The provider's authorized official is Scott Pilgrim .
The authorized official title is Manager and has the following contact phone number (405) 285-8166.

The CLIA number assigned to this NPI record is 37D0920250 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/13/2016 and was last updated on 1/13/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		AL1802	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AL1802-1802	OTHER	OKLAHOMA	MEDICAID ADVANATGE WAIVER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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