Healthcare Provider Details

I. General information

NPI: 1447705595
Provider Name (Legal Business Name): OAKLAND HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2016
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 E ALDER ST
OAKLAND MD
21550-3554
US

IV. Provider business mailing address

706 E ALDER ST
OAKLAND MD
21550-3554
US

V. Phone/Fax

Practice location:
  • Phone: 301-334-2319
  • Fax: 301-334-3345
Mailing address:
  • Phone: 301-334-2319
  • Fax: 301-334-3345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ELIZABETH COLLINS
Title or Position: PRESIDENT
Credential:
Phone: 301-334-2319