Heritage Community

LBN: Dr W F And Mada Dunaway Manor Nursing Home Of Guymon Inc
Heritage Community is an health care organization with primary practice located at 1401 N. Lelia , Guymon OK 73942. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Dr W F And Mada Dunaway Manor Nursing Home Of Guymon Inc can be contacted via phone (580) 338-3186, or through Roberts, Dianne Dardeu via phone (580) 338-8792.

Contact Information

Primary practice address
1401 N. Lelia Guymon OK 73942
Phone: (580) 338-3186
Fax: (580) 338-8688
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Dianne Dardeu
Phone: (580) 338-8792

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH7001 Oklahoma
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1043379357
LBN Legal business name Dr W F And Mada Dunaway Manor Nursing Home Of Guymon Inc
DBA Doing business as Heritage Community
Authorized official Roberts, Dianne Dardeu
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Oct 22nd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043379357 NPPES
Oklahoma MEDICAID 100775090A

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