Provider Demographics
NPI:1356197271
Name:OAKS CARE
Entity type:Organization
Organization Name:OAKS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHUKRI
Authorized Official - Middle Name:
Authorized Official - Last Name:EGAL
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:760-846-9929
Mailing Address - Street 1:3760 SILVER LAKE RD NE APT 1253
Mailing Address - Street 2:
Mailing Address - City:SAINT ANTHONY
Mailing Address - State:MN
Mailing Address - Zip Code:55421-4484
Mailing Address - Country:US
Mailing Address - Phone:760-846-9929
Mailing Address - Fax:
Practice Address - Street 1:3760 SILVER LAKE RD NE APT 1253
Practice Address - Street 2:
Practice Address - City:SAINT ANTHONY
Practice Address - State:MN
Practice Address - Zip Code:55421-4484
Practice Address - Country:US
Practice Address - Phone:760-846-9929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health