Provider Demographics
NPI:1689000663
Name:OAK CREST HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:OAK CREST HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-457-9500
Mailing Address - Street 1:7683 COTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JENISON
Mailing Address - State:MI
Mailing Address - Zip Code:49428-7320
Mailing Address - Country:US
Mailing Address - Phone:616-457-9500
Mailing Address - Fax:616-457-9600
Practice Address - Street 1:7683 COTTONWOOD DR
Practice Address - Street 2:
Practice Address - City:JENISON
Practice Address - State:MI
Practice Address - Zip Code:49428-7320
Practice Address - Country:US
Practice Address - Phone:616-457-9500
Practice Address - Fax:616-457-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility