Oak Knoll Convalescent Center, Inc.

LBN: Oak Knoll Convalescent Center, Inc.
Oak Knoll Convalescent Center, Inc. is an health care organization with primary practice located at 450 Hayes Ln , Petaluma CA 94952-4010. 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. Oak Knoll Convalescent Center, Inc. can be contacted via phone (707) 778-8686, or through Meyers, Anthony R. via phone (707) 778-8686.

Contact Information

Primary practice address
450 Hayes Ln Petaluma CA 94952-4010
Fax: (707) 778-6111
Website:
Authorized official contact:
Name: Meyers, Anthony R.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 010000053 California

Profile Details

NPI number 1174518088
LBN Legal business name Oak Knoll Convalescent Center, Inc.
DBA Doing business as
Authorized official Meyers, Anthony R.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2005
Last updated Dec 30th, 2011 - about 14 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 1174518088 NPPES
California MEDICAID LTC55172F

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