Provider Demographics
NPI:1790549616
Name:OAKLAND ASSISTED LIVING LLC
Entity Type:Organization
Organization Name:OAKLAND ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-516-3999
Mailing Address - Street 1:17838 OAKLAND DR NE
Mailing Address - Street 2:
Mailing Address - City:HAM LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55304-4549
Mailing Address - Country:US
Mailing Address - Phone:612-516-3999
Mailing Address - Fax:612-887-4376
Practice Address - Street 1:17838 OAKLAND DR NE
Practice Address - Street 2:
Practice Address - City:HAM LAKE
Practice Address - State:MN
Practice Address - Zip Code:55304-4549
Practice Address - Country:US
Practice Address - Phone:612-516-3999
Practice Address - Fax:612-887-4376
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OAKLAND ASSISTED LIVING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health