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: July 19, 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.Information from the official NPPES registry record.

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
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

Other Names 1

Other NameLegacy Living Centers

Other Identifiers 3

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

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nursing Facility/Intermediate Care Facility
705 E 3RD ST
HENNESSEY, OK 73742

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427046796, enumerated as an "organization" on October 11, 2005.

The provider is located at 705 E 3RD ST HENNESSEY, OK 73742 and the phone number is (405) 853-6027.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.