# HARTSHORNE HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beare Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871529412
- **Authorized official:** MR. TOM M MONTGOMERY (OWNER)
- **Authorized official phone:** (918) 683-9407

## Contact information

- **Practice address:** 1300 NORTH DR, HARTSHORNE, OK 74547-4400
- **Practice address phone:** (918) 297-7000
- **Practice address fax:** (918) 297-3487
- **Mailing address:** 1929 BETTY JANE LN, MUSKOGEE, OK 74403-1581
- **Mailing address phone:** (918) 683-9407
- **Mailing address fax:** (918) 683-1979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH61116111 | OK | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 11/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200055510A | — | OK |