Provider Demographics
NPI:1669537049
Name:OAKWOOD HEALTH CARE SERVICES INC.
Entity type:Organization
Organization Name:OAKWOOD HEALTH CARE SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:440-439-1448
Mailing Address - Street 1:24613 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44146-6340
Mailing Address - Country:US
Mailing Address - Phone:440-439-1448
Mailing Address - Fax:440-232-7138
Practice Address - Street 1:24613 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:OAKWOOD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44146-6340
Practice Address - Country:US
Practice Address - Phone:440-439-1448
Practice Address - Fax:440-232-7138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2472613Medicaid
OH333976OtherANTHEM
OH333976OtherANTHEM