Provider Demographics
NPI:1578274692
Name:OAKLAND PARK ALF LLC
Entity Type:Organization
Organization Name:OAKLAND PARK ALF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHESKY
Authorized Official - Middle Name:S
Authorized Official - Last Name:KRAUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-541-3091
Mailing Address - Street 1:5308 13TH AVE STE 266
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5198
Mailing Address - Country:US
Mailing Address - Phone:718-541-3091
Mailing Address - Fax:
Practice Address - Street 1:460 NW 40TH CT
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-5138
Practice Address - Country:US
Practice Address - Phone:305-814-9088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility