Provider Demographics
NPI:1164285375
Name:JOHN OAK CARE CORP.
Entity Type:Organization
Organization Name:JOHN OAK CARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:GALBRAITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-473-5781
Mailing Address - Street 1:705 FIERO LN STE 11
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-8745
Mailing Address - Country:US
Mailing Address - Phone:805-473-5781
Mailing Address - Fax:805-473-5822
Practice Address - Street 1:705 FIERO LN STE 11
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-8745
Practice Address - Country:US
Practice Address - Phone:805-473-5781
Practice Address - Fax:805-473-5822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health