Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heavener Manor, LLC

Organization Skilled Nursing Facility · NPI 1174941496

Heavener Manor, LLC is a Skilled Nursing Facility in Heavener, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in
OK
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

204 W 1st St
Heavener, OK 74937-2062
Phone: (918) 653-2034
Fax: (918) 653-4518
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence NH4001-4001 (OK)

Record details

NPI number1174941496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradford Montgomery — Member · (479) 250-5558
NPI enumeratedApril 3, 2014
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024
Mailing address9 Professional Dr, Bella Vista, AR 72715-8462

Other providers in Heavener