HERITAGE PARK MANAGEMENT LLC
NPI 1477308534
Skilled Nursing Facility in Bethany, OK

Active since April 22, 2024CLIA 37D0671997 · Waiver
1/5
Overall Rating
6912 NW 23RD ST, BETHANY, OK 73008(405) 789-7208 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heritage Park Management Llc NPPES

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

HERITAGE PARK MANAGEMENT LLC (NPI 1477308534) is a healthcare organization registered as a skilled nursing facility in Bethany, Oklahoma and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Adamson Underwood, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477308534
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHERITAGE PARK MANAGEMENT LLC
Location Address6912 NW 23RD STBethany, OK 73008-5219
Mailing Address617 S Air Depot BlvdMidwest City, OK 73110-4426 · (405) 556-5333
Organization SubpartNo
Authorized OfficialAdamson UnderwoodCeo · (405) 556-5333
Enumeration DateApril 22, 2024
NPPES CertifiedApril 22, 2024
NPI 1477308534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

6912 NW 23RD ST, Bethany, OK 73008

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0671997

Heritage Park · Bethany, OK
Active · expires Aug 31, 2026
CLIA Number37D0671997
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNedra Marcum
Laboratory Phone(405) 789-7208
Laboratory LocationHeritage Park6912 NW 23 St, Bethany, OK 73008
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Heritage Park (CMS certification number 375511), from CMS Care Compare.

Heritage Park

Nursing home · Bethany, OK
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number375511
Certified Beds55 beds44 residents per day on average
Medicare & Medicaid Participant SinceOctober 1, 2007
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
59
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.23 · LPN 0.84 · RN 0.31
3.38 hrs per resident per day
Weekend Nurse Staffing
3.46 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
3
Fines
2 totaling $8,808.50
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

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

Nursing Facility/Intermediate Care Facility
6912 NW 23RD ST
BETHANY, OK 73008

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 Heritage Park Management LLC's NPI number?

The NPI number for Heritage Park Management LLC is 1477308534. It was assigned to this organization in the NPPES registry on April 22, 2024.

Where is Heritage Park Management LLC located?

Heritage Park Management LLC is located at 6912 NW 23rd St, Bethany, OK 73008. The listed phone number is (405) 789-7208.

What is Heritage Park Management LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Heritage Park Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0671997) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Heritage Park Management LLC a Medicare-certified nursing home?

Yes. Heritage Park is a Medicare-certified nursing home with 55 certified beds.

What quality rating does Heritage Park Management LLC have?

CMS rates Heritage Park 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Heritage Park Management LLC was last updated on April 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.