Provider Demographics
NPI:1841769098
Name:OAKTREE SENIOR HEALTH MANAGEMENT, INC.
Entity Type:Organization
Organization Name:OAKTREE SENIOR HEALTH MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-673-9081
Mailing Address - Street 1:9198 GREENBACK LN STE 108
Mailing Address - Street 2:
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-4770
Mailing Address - Country:US
Mailing Address - Phone:916-673-9081
Mailing Address - Fax:
Practice Address - Street 1:9198 GREENBACK LN STE 108
Practice Address - Street 2:
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-4770
Practice Address - Country:US
Practice Address - Phone:916-673-9081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GNB32010-47028
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care