Healthcare Provider Details

I. General information

NPI: 1578701942
Provider Name (Legal Business Name): OAKHURST SKILLED NURSING & WELLNESS CENTRE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2009
Last Update Date: 12/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40131 HIGHWAY 49
OAKHURST CA
93644-9560
US

IV. Provider business mailing address

40131 HIGHWAY 49
OAKHURST CA
93644-9560
US

V. Phone/Fax

Practice location:
  • Phone: 559-683-2244
  • Fax: 323-634-1943
Mailing address:
  • Phone: 559-683-2244
  • Fax: 323-634-1943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number040000198
License Number StateCA

VIII. Authorized Official

Name: SHLOMO RECHNITZ
Title or Position: MANAGING MEMBER
Credential:
Phone: 323-634-1940