Provider Demographics
NPI:1851488183
Name:OAK HEALTH CARE INVESTORS OF SALISBURY, INC.
Entity Type:Organization
Organization Name:OAK HEALTH CARE INVESTORS OF SALISBURY, INC.
Other - Org Name:THE LAURELS OF SALISBURY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-794-8800
Mailing Address - Street 1:215 LASH DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-9151
Mailing Address - Country:US
Mailing Address - Phone:704-637-1182
Mailing Address - Fax:704-638-2328
Practice Address - Street 1:215 LASH DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-9151
Practice Address - Country:US
Practice Address - Phone:704-637-1182
Practice Address - Fax:704-638-2328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0538332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3405428Medicaid
NC953441OtherFACILITY ID #
NC7100188OtherUNITED HEALTH CARE ID #
NC0090ROtherBC/BS #
NCNH0538OtherNH LICENSE #
NC3405428Medicaid