Provider Demographics
NPI:1659989283
Name:OAKWOOD HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:OAKWOOD HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAQLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-839-8879
Mailing Address - Street 1:17220 NEWHOPE ST STE 204
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4261
Mailing Address - Country:US
Mailing Address - Phone:818-839-8879
Mailing Address - Fax:747-279-4222
Practice Address - Street 1:17220 NEWHOPE ST STE 204
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4261
Practice Address - Country:US
Practice Address - Phone:818-839-8879
Practice Address - Fax:747-279-4222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based