Hillcrest Manor

LBN: Bedlam Properties, Llc
Hillcrest Manor is an health care organization with primary practice located at 1210 S 6Th St , Blackwell OK 74631-4219. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Bedlam Properties, Llc can be contacted via phone (580) 363-3244, or through Lietzke, Mark A via phone (918) 622-4799.

Contact Information

Primary practice address
1210 S 6Th St Blackwell OK 74631-4219
Phone: (580) 363-3244
Fax: (580) 363-2613
Website:
Map and Directions
Authorized official contact:
Name: Lietzke, Mark A
Phone: (918) 622-4799

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH36043604 Oklahoma

Profile Details

NPI number 1053300269
LBN Legal business name Bedlam Properties, Llc
DBA Doing business as Hillcrest Manor
Authorized official Lietzke, Mark A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated Aug 26th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053300269 NPPES
Oklahoma MEDICAID 100772420A
Oklahoma Other 000375402001

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