Provider Demographics
NPI:1679710719
Name:TWIN OAKS REHABILITATION & NURSING
Entity Type:Organization
Organization Name:TWIN OAKS REHABILITATION & NURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENSETT
Authorized Official - Middle Name:J
Authorized Official - Last Name:MOYLE
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:559-688-0288
Mailing Address - Street 1:897 N M ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-2017
Mailing Address - Country:US
Mailing Address - Phone:559-687-1340
Mailing Address - Fax:
Practice Address - Street 1:897 N M ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2017
Practice Address - Country:US
Practice Address - Phone:559-687-1340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-12
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA555861Medicare Oscar/Certification