Provider Demographics
NPI:1578701942
Name:OAKHURST SKILLED NURSING & WELLNESS CENTRE, LLC
Entity Type:Organization
Organization Name:OAKHURST SKILLED NURSING & WELLNESS CENTRE, LLC
Other - Org Name:OAKHURST HEATHCARE & WELLNESS CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHLOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:RECHNITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-634-1940
Mailing Address - Street 1:40131 HIGHWAY 49
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:CA
Mailing Address - Zip Code:93644-9560
Mailing Address - Country:US
Mailing Address - Phone:559-683-2244
Mailing Address - Fax:323-634-1943
Practice Address - Street 1:40131 HIGHWAY 49
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:CA
Practice Address - Zip Code:93644-9560
Practice Address - Country:US
Practice Address - Phone:559-683-2244
Practice Address - Fax:323-634-1943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-23
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA040000198314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALTC55115GMedicaid
CALTC55115GMedicaid
CA555115Medicare Oscar/Certification