Provider Demographics
NPI:1912092016
Name:OAKLAND CARE CENTER INC
Entity Type:Organization
Organization Name:OAKLAND CARE CENTER INC
Other - Org Name:OAKLAND CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENZION
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHACHTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-337-3300
Mailing Address - Street 1:20 BREAKNECK RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-2402
Mailing Address - Country:US
Mailing Address - Phone:201-337-3300
Mailing Address - Fax:201-337-6715
Practice Address - Street 1:20 BREAKNECK RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-2402
Practice Address - Country:US
Practice Address - Phone:201-337-3300
Practice Address - Fax:201-337-6715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ060223314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ02370Medicaid
NJ31-5171Medicare ID - Type Unspecified