Provider Demographics
NPI:1295139616
Name:OAKWOOD ACQUISITION, LLC
Entity type:Organization
Organization Name:OAKWOOD ACQUISITION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-230-4462
Mailing Address - Street 1:6411 MINERAL POINT RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-4342
Mailing Address - Country:US
Mailing Address - Phone:608-230-4477
Mailing Address - Fax:608-709-2625
Practice Address - Street 1:6411 MINERAL POINT RD STE 211
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-4342
Practice Address - Country:US
Practice Address - Phone:608-230-4477
Practice Address - Fax:608-709-2625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-14
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI527322OtherMEDICARE PROVIDER NUMBER