Provider Demographics
NPI:1578558110
Name:OAK HILL ACQUISITION COMPANY L.L.C.
Entity Type:Organization
Organization Name:OAK HILL ACQUISITION COMPANY L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, FISCAL OVERSIGHT
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEWIRTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-588-8379
Mailing Address - Street 1:602 HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-5752
Mailing Address - Country:US
Mailing Address - Phone:607-272-8282
Mailing Address - Fax:607-273-4305
Practice Address - Street 1:602 HUDSON ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-5752
Practice Address - Country:US
Practice Address - Phone:607-272-8282
Practice Address - Fax:607-273-4305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5401310N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY335225Medicare Oscar/Certification