Oak Knoll Convalescent Center, Inc. in Petaluma - Skilled Nursing Facility

Oak Knoll Convalescent Center, Inc. - NPI 1174518088

Oak Knoll Convalescent Center, Inc. is a Skilled Nursing Facility in Petaluma, California. Oak Knoll Convalescent Center, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Oak Knoll Convalescent Center, Inc. is 1174518088. The last update date is 2011-12-30.

Oak Knoll Convalescent Center, Inc.'s current location address is 450 Hayes Ln, Petaluma, California. You can contact this provider via phone number 7077788686 and fax number 7077786111. The mailing address for Oak Knoll Convalescent Center, Inc. is 450 Hayes Ln, Petaluma, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Oak Knoll Convalescent Center, Inc.
Address 450 Hayes Ln, Petaluma, California
Phone Number 7077788686
Fax Number 7077786111
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Meyers R. Anthony
Telephone Number 7077788686

NPI Number Detail

NPI Number 1174518088
Provider Enumeration Date 2005-09-16
Last Updated Date 2011-12-30

Provider Mailing Address Detail

Address 450 Hayes Ln
City Petaluma
State California (CA)
Post Code 949524010
Phone Number 7077788686
Fax Number 7077786111

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 10000053
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LTC55172F CA --

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FAQs about Oak Knoll Convalescent Center, Inc.

What is the Oak Knoll Convalescent Center, Inc.'s unique identification number?

The Oak Knoll Convalescent Center, Inc. has been assigned the NPI (National Provider Identifier) Number 1174518088 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Oak Knoll Convalescent Center, Inc.'s physical address?

The Oak Knoll Convalescent Center, Inc. is physically located at 450 Hayes Ln, in the city of Petaluma, CA, with the postal code 949524010.

What is Oak Knoll Convalescent Center, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Oak Knoll Convalescent Center, Inc. is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.

When did Oak Knoll Convalescent Center, Inc. receive its 1174518088 assignment?

The Oak Knoll Convalescent Center, Inc. was assigned its 1174518088 on 2005-09-16, which is the date when this unique identifier was issued to the organization.

When was the Oak Knoll Convalescent Center, Inc.'s information last updated?

The Oak Knoll Convalescent Center, Inc.'s information was last updated on 2011-12-30.

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