Heritage Oaks Nursing and Rehabilitation Center – Skilled Nursing Facility, NPI 1215977582

Heritage Oaks Nursing and Rehabilitation Center is a healthcare provider. based in Lubbock, Texas. specializing in Skilled Nursing Facility. The organization holds a License No. 140942 (TX). The NPI Number for Heritage Oaks Nursing and Rehabilitation Center is 1215977582

Main info

Organization
Name
Heritage Oaks Nursing and Rehabilitation Center
NPI
1215977582
Phone
(806) 795-8792
Address
5301 UNIVERSITY AVE
Authorized Official
RICHARD AGNEW AUTHORIZED OFFICIAL
Enumeration Date
7 June 2006
Last Update Date
30 June 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness90
Years active:20State licenses:1Digital endpoints

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Provider Addresses for Heritage Oaks Nursing and Rehabilitation Center

  • Heritage Oaks, 5301, University Avenue, Lubbock, Lubbock County, Texas, 79412, United States

    LUBBOCK, TX 794134940

    Phone: (806) 795-8792

    Fax: (806) 795-4614

    Type: Mailing

  • KAMY-FM (Lubbock), University Avenue, Lubbock, Lubbock County, Texas, 79423, United States

    LUBBOCK, TX 79413

    Phone: (806) 795-8792

    Fax: (806) 795-4614

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20140915000137OSkilled Nursing FacilityTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79413)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Heritage Oaks Nursing and Rehabilitation Center?
Heritage Oaks Nursing and Rehabilitation Center — NPI 1215977582 — is the standard way to identify this listing.
Does CMS list Heritage Oaks Nursing and Rehabilitation Center as active?
Yes — Heritage Oaks Nursing and Rehabilitation Center is active in the NPI listing used on this page.
What is Heritage Oaks Nursing and Rehabilitation Center's primary classification?
Skilled Nursing Facility is the headline specialty for Heritage Oaks Nursing and Rehabilitation Center here. Clinical services aligned with this taxonomy classification.
Where is Heritage Oaks Nursing and Rehabilitation Center based?
Heritage Oaks Nursing and Rehabilitation Center is tied to Lubbock, Texas in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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