Heavener Manor, LLC
NPI 1174941496 · Skilled Nursing Facility · Heavener, OK
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heavener Manor, LLC is a Skilled Nursing Facility organization in Heavener, OK (NPI 1174941496).
Provider details
- NPI number
- 1174941496
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Bradford Montgomery, Member(479) 250-5558
- License
- NH4001-4001 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-04-03
- Last updated
- 2024-06-07
- Certified
- 2024-06-07
Frequently asked questions
- What is Heavener Manor, LLC's NPI number?
- Heavener Manor, LLC's National Provider Identifier (NPI) is 1174941496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heavener Manor, LLC?
- Heavener Manor, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Heavener Manor, LLC located?
- Heavener Manor, LLC's practice location on file with NPPES is 204 W 1st St, Heavener, OK 74937-2062.
- What is Heavener Manor, LLC's phone number?
- The practice phone number listed in the NPPES registry for Heavener Manor, LLC is (918) 653-2034.
- Does Heavener Manor, LLC accept Medicare?
- Heavener Manor, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Heavener Manor, LLC?
- The authorized official listed on Heavener Manor, LLC's NPPES record is Bradford Montgomery, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heavener Manor, LLC's NPI active?
- Yes — Heavener Manor, LLC's NPI (1174941496) is active in the NPPES registry as of the last update on 2024-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.