Golden Oak Crest Llc in West Allis - Assisted Living Facility
Golden Oak Crest Llc - NPI 1083872451
Golden Oak Crest Llc is a Assisted Living Facility in West Allis, Wisconsin. Golden Oak Crest Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Golden Oak Crest Llc is 1083872451. The last update date is 2020-04-22.
Golden Oak Crest Llc's current location address is 2448 S 102nd St Ste 305, West Allis, Wisconsin. You can contact this provider via phone number 4149406608 and fax number 2623642524. The mailing address for Golden Oak Crest Llc is 2448 S 102nd St Ste 305, West Allis, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Golden Oak Crest Llc |
|---|---|
| Address | 2448 S 102nd St Ste 305, West Allis, Wisconsin |
| Phone Number | 4149406608 |
| Fax Number | 2623642524 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING D |
|---|---|
| Authorized Official Name | Teresinski John |
| Telephone Number | 4149406608 |
NPI Number Detail
| NPI Number | 1083872451 |
|---|---|
| Provider Enumeration Date | 2008-06-02 |
| Last Updated Date | 2020-04-22 |
Provider Mailing Address Detail
| Address | 2448 S 102nd St Ste 305 |
|---|---|
| City | West Allis |
| State | Wisconsin (WI) |
| Post Code | 532272141 |
| Phone Number | 4149406608 |
| Fax Number | 2623642524 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11567 | WI | WISCONSIN DHS |
Post Comment/ Review Below
What is the unique identifier code issued to Golden Oak Crest Llc by the Centers for Medicare & Medicaid Services?
The Golden Oak Crest Llc has been assigned the NPI (National Provider Identifier) 1083872451. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Golden Oak Crest Llc's physical address?
The Golden Oak Crest Llc is physically located at 2448 S 102Nd St Ste 305, in the city of West Allis, WI, with the postal code 532272141.
What is Golden Oak Crest Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Golden Oak Crest Llc is Assisted Living Facility, and the taxonomy code that categorizes this field of expertise is 310400000X.
On what date did Golden Oak Crest Llc receive its 1083872451 assignment from the Centers for Medicare & Medicaid Services?
The Golden Oak Crest Llc was assigned its 1083872451 on 2008-06-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Golden Oak Crest Llc most recently updated or revised?
The details related to Golden Oak Crest Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-04-22.