Healthcare Provider Details

I. General information

NPI: 1255675328
Provider Name (Legal Business Name): OAKVIEW SNF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 11/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 BARKER ST
SILVER SPRING MD
20910-1001
US

IV. Provider business mailing address

2700 BARKER ST
SILVER SPRING MD
20910-1001
US

V. Phone/Fax

Practice location:
  • Phone: 301-565-0300
  • Fax:
Mailing address:
  • Phone: 301-565-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number15-029
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MOSHE SCHEINER
Title or Position: AUTHORIZED MEMBER
Credential:
Phone: 845-354-3217