Provider Demographics
NPI:1205721727
Name:ASTORIA AT OAKDALE LLC
Entity type:Organization
Organization Name:ASTORIA AT OAKDALE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP ASSET MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:RANDELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:531-800-3364
Mailing Address - Street 1:700 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:CA
Mailing Address - Zip Code:95361-2555
Mailing Address - Country:US
Mailing Address - Phone:209-322-2292
Mailing Address - Fax:
Practice Address - Street 1:700 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:CA
Practice Address - Zip Code:95361-2555
Practice Address - Country:US
Practice Address - Phone:209-322-2292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility