HEATHERIDGE HEALTH CARE, LLC (NPI# 1508270380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508270380 |
| Entity Type | Organization |
| Organization Name | HEATHERIDGE HEALTH CARE, LLC |
| Other Organization Name | HEATHERIDGE ASSISTED LIVING & RESIDENTIAL CARE COMMUNITY |
| Practice Address |
2130 S 85th East Ave Tulsa OK 74129-3066 |
| Practice Telephone | 9186229191 |
| Practice Fax Number | 9186229205 |
| Mailing Telephone | 9186229191 |
| Mailing Fax Number | 9186229205 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2015-12-02 |
| Authorized Official Name | JUDAH BIENSTOCK (MANAGING MEMBER) |
| Authorized Official Telephone | 3146313000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Heatheridge Assisted Living & Residential Care Community | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | HEATHERIDGE HEALTH CARE, LLC | 2 City Place Drive, Suite 200, St. Louis, MO 63017 |
| Street Address |
2130 S 85TH EAST AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74129-3066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114405594 | Go2therapy LLC | Counselor | 6931 E 31st Street, Unit 31, Tulsa, OK 74129 | 2018-07-30 |
| 1417472259 | Brooke Javon Denton | Physician Assistant | 2924 S. 98th East Ave, Tulsa, OK 74129 | 2017-08-12 |
| 1952459489 | Cleartone Hearing Aid Laboratories Inc | Hearing Instrument Specialist | 2323 South Sheridan, Tulsa, OK 74129 | 2007-01-08 |
| 1407879422 | Lonnie F Morris | Psychiatry & Neurology | 2316 S. Garnett, Suite E, Tulsa, OK 74129 | 2006-07-25 |
| 1902876360 | Carla Jean Pohl | Advanced Practice Midwife | 2815 S Sheridan Rd, Tulsa, OK 74129 | 2006-01-26 |
| 1710458856 | Brittany Paige Watkins | Social Worker | 11740 E 21st St, Tulsa, OK 74129 | 2018-12-16 |
| 1043799968 | Latosha Renee | Social Worker | 11740 E 21st St, Tulsa, OK 74129 | 2018-08-10 |
| 1285128710 | Amanda Danielle Woods-roberts | Social Worker | 11740 E 21st St, Tulsa, OK 74129 | 2018-06-18 |
| 1407349129 | Terri Lynne Ross | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129 | 2018-06-07 |
| 1225529449 | Sydney Herburger | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129 | 2018-05-23 |
| Find all providers in zip 74129 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174896310 | Tulsa Memory Care, LLC | Assisted Living Facility | 7807 S Mingo Rd, Tulsa, OK 74133-3347 | 2012-02-20 |
| 1669777892 | South Lewis Sh Opco, LLC | Assisted Living Facility | 5721 S Lewis Ave, Tulsa, OK 74105-7129 | 2011-01-19 |
| 1558680918 | Tcg Tulsa Assisted Living LLC | Assisted Living Facility | 7220 S Yale Ave, Tulsa, OK 74136-6348 | 2010-05-25 |
| 1568639896 | Theparkeassistedliving | Assisted Living Facility | 7821 E 76th St, Tulsa, OK 74133-3680 | 2008-05-15 |
| 1710153531 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 6022 E 71st St, Tulsa, OK 74136-6742 | 2008-05-01 |
| 1437325255 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 8231 S Mingo Rd, Tulsa, OK 74133-4549 | 2008-05-01 |
| 1013121912 | Sunrise Senior Living | Assisted Living Facility | 5211 S Lewis Ave, Tulsa, OK 74105-6556 | 2007-05-09 |
| 1285117150 | Southern Hills Retirement Center, LLC | Assisted Living Facility | 5170 S Vandalia Ave, Tulsa, OK 74135-4079 | 2018-09-07 |
| 1740588672 | University Village Retirement Community, LLC | Assisted Living Facility | 8555 S Lewis Ave, Tulsa, OK 74137-1218 | 2011-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834482 | Red Bud Assisted Living LLC | Assisted Living Facility | 215 W Freeman Ave, Perkins, OK 74059-5600 | 2020-09-03 |
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1396279808 | Teal Creek Life Care Community Inc | Assisted Living Facility | 13501 N. Bryant Ave., Edmond, OK 73013 | 2017-04-12 |
| 1568855278 | Remember When Assisted Living, LLC | Assisted Living Facility | 5729 Nw 82nd St, Oklahoma City, OK 73132-4909 | 2015-03-05 |
| 1306243019 | Green Country Rehabilitation | Assisted Living Facility | 3535 Nw 58th St Ste 940, Oklahoma City, OK 73112-4802 | 2014-11-24 |
| 1871908913 | Edmond Memory Care, LLC | Assisted Living Facility | 1001 S Bryant Ave, Edmond, OK 73034-5745 | 2014-06-27 |
| 1740608660 | United Senior Properties of Shawnee, LLC | Assisted Living Facility | 789 E Country Grove Dr, Shawnee, OK 74804-1404 | 2014-03-29 |
| 1730507658 | United Senior Properties of Seminole, LLC | Assisted Living Facility | 2207 West Wrangler Blvd, Seminole, OK 74868 | 2014-03-29 |
| 1962837039 | Hugo Family Pharmacy | Assisted Living Facility | 420 E Jackson St, Hugo, OK 74743-4021 | 2013-09-09 |
| 1740526474 | Forest Hills Alf LLC | Assisted Living Facility | 4304 W Houston St, Broken Arrow, OK 74012-4519 | 2012-12-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.