Provider Demographics
NPI:1518224955
Name:RELIANT SILVER OAKS HOLDINGS, LLC
Entity Type:Organization
Organization Name:RELIANT SILVER OAKS HOLDINGS, LLC
Other - Org Name:SILVER OAKS HEALTH AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCIOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-558-3700
Mailing Address - Street 1:3601 ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19153-3228
Mailing Address - Country:US
Mailing Address - Phone:215-558-3700
Mailing Address - Fax:215-558-3701
Practice Address - Street 1:715 HARBOR ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-2011
Practice Address - Country:US
Practice Address - Phone:724-652-3863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA395524Medicare PIN