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LEGACY LIVING CENTERS
NPI 1427046796
Nursing Facility/Intermediate Care Facility in Hennessey, OK

Active since October 11, 2005
705 E 3RD ST, HENNESSEY, OK 73742(405) 853-6027(405) 853-4389 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Legacy Living Centers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY LIVING CENTERS (NPI 1427046796) is a healthcare organization registered as a nursing facility/intermediate care facility in Hennessey, Oklahoma and active in the NPI registry since October 2005. The organization lists Janice Pita, Insurance/medicare, as its authorized official.

NPPES Registry Identity

NPI1427046796
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameHENNESSEY MANOR NURSING HOME INC
Location Address705 E 3RD STHennessey, OK 73742-1620
Mailing Address705 E 3rd StHennessey, OK 73742-1620 · (405) 853-6027 · Fax (405) 853-4389
Phone(405) 853-6027
Fax(405) 853-4389
Organization SubpartNo
Authorized OfficialJanice PitaInsurance/medicare · (580) 622-6300
Enumeration DateOctober 11, 2005
Last NPPES UpdateMay 22, 2008
✔ NPI 1427046796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in OK · NH3703-3703
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
705 E 3RD ST, Hennessey, OK 73742
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Other Names 1

Other NameLegacy Living Centers

Other Identifiers 3

Other731473404001OK · Blue Cross Blue Shield Ok
Medicare ID-Type Unspecified37-5485OK · Medicare Oklahoma
Medicaid200059260AOK

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENNESSEY NURSING & REHABILITATION LLC
Nursing Facility/Intermediate Care Facility
705 E 3RD ST
HENNESSEY, OK 73742
Kingfisher County (405) 853-4390

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hennessey Manor Nursing Home Inc's NPI number?

The NPI number for Hennessey Manor Nursing Home Inc is 1427046796. It was assigned to this organization in the NPPES registry on October 11, 2005. The provider is also known as Legacy Living Centers.

Where is Hennessey Manor Nursing Home Inc located?

Hennessey Manor Nursing Home Inc is located at 705 E 3rd St, Hennessey, OK 73742. The listed phone number is (405) 853-6027.

What is Hennessey Manor Nursing Home Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Hennessey Manor Nursing Home Inc was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.