Provider Demographics
NPI:1770648081
Name:OAKWOOD HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:OAKWOOD HEALTH CARE SERVICES INC.
Other - Org Name:HERITAGE CARE NURSING & REHAB CNTR
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:440-439-7976
Mailing Address - Street 1:24613 BROADWAY AVENUE
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44146-6338
Mailing Address - Country:US
Mailing Address - Phone:440-439-7976
Mailing Address - Fax:440-232-7113
Practice Address - Street 1:24579 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:OAKWOOD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44146-6338
Practice Address - Country:US
Practice Address - Phone:440-439-7976
Practice Address - Fax:440-232-7113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2472631Medicaid
OH333974OtherANTHEM
OH2472631Medicaid