Provider Demographics
NPI:1093426363
Name:OAKS FAMILY CARE INC.
Entity Type:Organization
Organization Name:OAKS FAMILY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OKGI
Authorized Official - Middle Name:
Authorized Official - Last Name:MIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-698-8989
Mailing Address - Street 1:9456 BLUE DIAMOND WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-4422
Mailing Address - Country:US
Mailing Address - Phone:916-714-1796
Mailing Address - Fax:916-714-1796
Practice Address - Street 1:9456 BLUE DIAMOND WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-4422
Practice Address - Country:US
Practice Address - Phone:916-714-1796
Practice Address - Fax:916-714-1796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-07
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility