Healthcare Provider Details

I. General information

NPI: 1710986062
Provider Name (Legal Business Name): THE OAKS NH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 06/27/2021
Certification Date: 06/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 SW 41ST PL
GAINESVILLE FL
32608-2621
US

IV. Provider business mailing address

3250 SW 41ST PL
GAINESVILLE FL
32608-2621
US

V. Phone/Fax

Practice location:
  • Phone: 352-378-1558
  • Fax: 352-377-4562
Mailing address:
  • Phone: 352-378-1558
  • Fax: 352-377-4562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF1380096
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MOSHE SCHEINER
Title or Position: CEO
Credential:
Phone: 813-557-6200