Legacy Living Centers

LBN: Hennessey Manor Nursing Home Inc
Legacy Living Centers is an health care organization with primary practice located at 705 E 3Rd St , Hennessey OK 73742-1620. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Hennessey Manor Nursing Home Inc can be contacted via phone (405) 853-6027, or through Pita, Janice via phone (580) 622-6300.

Contact Information

Primary practice address
705 E 3Rd St Hennessey OK 73742-1620
Fax: (405) 853-4389
Website:
Authorized official contact:
Name: Pita, Janice

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH3703-3703 Oklahoma

Profile Details

NPI number 1427046796
LBN Legal business name Hennessey Manor Nursing Home Inc
DBA Doing business as Legacy Living Centers
Authorized official Pita, Janice
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated May 22nd, 2008 - about 16 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 1427046796 NPPES
Oklahoma Other 731473404001 BLUE CROSS BLUE SHIELD OK
Oklahoma MEDICAID 200059260A BLUE CROSS BLUE SHIELD OK

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