Healthcare Provider Details

I. General information

NPI: 1164351623
Provider Name (Legal Business Name): THE OAKS SENIOR LIVING OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 EMGE RD
O FALLON MO
63366-2118
US

IV. Provider business mailing address

707 EMGE RD
O FALLON MO
63366-2118
US

V. Phone/Fax

Practice location:
  • Phone: 636-542-5220
  • Fax:
Mailing address:
  • Phone: 636-542-5220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JORDAN RYAN
Title or Position: VP BUSINESS STRATEGIES
Credential:
Phone: 507-251-6356