Healthcare Provider Details

I. General information

NPI: 1255989844
Provider Name (Legal Business Name): OXFORD OPERATING CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2019
Last Update Date: 08/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6099 FAIRFIELD RD
OXFORD OH
45056-1507
US

IV. Provider business mailing address

4700 ASHWOOD DR STE 200
BLUE ASH OH
45241-2424
US

V. Phone/Fax

Practice location:
  • Phone: 513-523-6353
  • 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: DEBBIE TRANQUILLO
Title or Position: VP/CONTROLLER
Credential:
Phone: 513-530-1324