Provider Demographics
NPI:1750037222
Name:OAK CREST HEALTH & WELLNESS OPCO, LLC
Entity Type:Organization
Organization Name:OAK CREST HEALTH & WELLNESS OPCO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CYNDI
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHENY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-883-7920
Mailing Address - Street 1:325 SELMA RD
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35020-2417
Mailing Address - Country:US
Mailing Address - Phone:423-883-7920
Mailing Address - Fax:
Practice Address - Street 1:325 SELMA RD
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35020-2417
Practice Address - Country:US
Practice Address - Phone:205-428-9383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility