Healthcare Provider Details

I. General information

NPI: 1669223491
Provider Name (Legal Business Name): OAK HILL HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2024
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4466 LYNNHAVEN AVE
LOUISVILLE OH
44641-9513
US

IV. Provider business mailing address

338 WHITESVILLE RD STE 503
JACKSON NJ
08527-5091
US

V. Phone/Fax

Practice location:
  • Phone: 330-875-5060
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JACOB STERN
Title or Position: MANAGER
Credential:
Phone: 732-659-1353