Provider Demographics
NPI:1982941308
Name:OAKWOOD REHAB AND NURSING LLC
Entity Type:Organization
Organization Name:OAKWOOD REHAB AND NURSING LLC
Other - Org Name:OAKWOOD CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-877-6630
Mailing Address - Street 1:106 OLD COURT RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4038
Mailing Address - Country:US
Mailing Address - Phone:410-877-6630
Mailing Address - Fax:
Practice Address - Street 1:1300 WINDLASS DR
Practice Address - Street 2:
Practice Address - City:MIDDLE RIVER
Practice Address - State:MD
Practice Address - Zip Code:21220-4126
Practice Address - Country:US
Practice Address - Phone:410-687-1383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-04
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility