Healthcare Provider Details

I. General information

NPI: 1386966588
Provider Name (Legal Business Name): THE REHABILITATION CENTER OF OAKLAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2010
Last Update Date: 10/19/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 40TH STREET WAY
OAKLAND CA
94611-5612
US

IV. Provider business mailing address

210 40TH STREET WAY
OAKLAND CA
94611-5612
US

V. Phone/Fax

Practice location:
  • Phone: 510-658-2041
  • Fax: 510-685-6353
Mailing address:
  • Phone: 510-658-2041
  • Fax: 510-685-6353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number020000269
License Number StateCA

VIII. Authorized Official

Name: MR. SOL MAJER
Title or Position: PRESIDENT
Credential:
Phone: 626-800-1191