Provider Demographics
NPI:1881689370
Name:OAK MANAGEMENT CORPORATION
Entity Type:Organization
Organization Name:OAK MANAGEMENT CORPORATION
Other - Org Name:SAVOY NURSING & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:WINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-414-4710
Mailing Address - Street 1:PO BOX 434
Mailing Address - Street 2:
Mailing Address - City:HARWICH PORT
Mailing Address - State:MA
Mailing Address - Zip Code:02646-0434
Mailing Address - Country:US
Mailing Address - Phone:508-414-4710
Mailing Address - Fax:508-432-8006
Practice Address - Street 1:670 COUNTY ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6719
Practice Address - Country:US
Practice Address - Phone:508-414-4710
Practice Address - Fax:508-432-8006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0657314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2200911687OtherCLIA CERTIFICATE OF WAIVE
MA0907197Medicaid
225423Medicare ID - Type Unspecified
MA2200911687OtherCLIA CERTIFICATE OF WAIVE