HERITAGE MANOR MANAGEMENT, LLC
NPI 1679328728
Skilled Nursing Facility in Oklahoma City, OK

Active since April 22, 2024
2/5
Overall Rating
3804 N BARR AVE, OKLAHOMA CITY, OK 73122(405) 789-7103 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heritage Manor Management, Llc NPPES

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

HERITAGE MANOR MANAGEMENT, LLC (NPI 1679328728) is a healthcare organization registered as a skilled nursing facility in Oklahoma City, Oklahoma and active in the NPI registry since April 2024. The organization lists Adamson Underwood, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679328728
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHERITAGE MANOR MANAGEMENT, LLC
Location Address3804 N BARR AVEOklahoma City, OK 73122-2410
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 1679328728 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.
3804 N BARR AVE, Oklahoma City, OK 73122

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 37D1028756

Heritage Manor · Oklahoma City, OK
Expired · Aug 1, 2026
CLIA Number37D1028756
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorConnie S. Beeler
Laboratory Phone(405) 789-7103
Laboratory LocationHeritage Manor3804 N Barr, Oklahoma City, OK 73122
CLIA data matches this NPI record on: Address 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 Manor (CMS certification number 375502), from CMS Care Compare.

Heritage Manor

Nursing home · Oklahoma City, OK
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number375502
Certified Beds55 beds50 residents per day on average
Medicare & Medicaid Participant SinceNovember 8, 2006
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
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.
83.33
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 2.74 · LPN 0.46 · RN 0.23
3.43 hrs per resident per day
Weekend Nurse Staffing
3.43 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
5
Fines
2 totaling $35,842.54
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
3804 N BARR AVE
OKLAHOMA CITY, OK 73122

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 Manor Management, LLC's NPI number?

The NPI number for Heritage Manor Management, LLC is 1679328728. It was assigned to this organization in the NPPES registry on April 22, 2024.

Where is Heritage Manor Management, LLC located?

Heritage Manor Management, LLC is located at 3804 N Barr Ave, Oklahoma City, OK 73122. The listed phone number is (405) 789-7103.

What is Heritage Manor Management, LLC's specialty?

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

Is Heritage Manor Management, LLC a Medicare-certified nursing home?

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

What quality rating does Heritage Manor Management, LLC have?

CMS rates Heritage Manor 2 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 Manor Management, LLC was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.