Healthcare Provider Details
I. General information
NPI: 1578244299
Provider Name (Legal Business Name): OAKS AT CENTRAL CITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2023
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2720 17TH AVE
CENTRAL CITY NE
68826-9614
US
IV. Provider business mailing address
265 E MERRICK RD STE 205
VALLEY STREAM NY
11580-6004
US
V. Phone/Fax
- Phone: 308-946-3088
- Fax: 308-946-2068
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARI
SILBERSTEIN
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 308-946-3088