Healthcare Provider Details

I. General information

NPI: 1518422393
Provider Name (Legal Business Name): OAKHURST HEALTHCARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2019
Last Update Date: 02/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40131 HIGHWAY 49
OAKHURST CA
93644-9560
US

IV. Provider business mailing address

31720 AUBERRY RD
AUBERRY CA
93602-9687
US

V. Phone/Fax

Practice location:
  • Phone: 559-683-2244
  • Fax:
Mailing address:
  • Phone: 559-960-2390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN ELLSWORTH HARSHMAN III
Title or Position: MANAGER
Credential: OWNER
Phone: 559-960-2390