Healthcare Provider Details

I. General information

NPI: 1497988224
Provider Name (Legal Business Name): OAKS BHP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2009
Last Update Date: 12/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 W JACKSON ST
BURNET TX
78611-3012
US

IV. Provider business mailing address

PO BOX 21265
WACO TX
76702-1265
US

V. Phone/Fax

Practice location:
  • Phone: 512-756-6044
  • Fax: 512-756-2646
Mailing address:
  • Phone: 254-666-2130
  • Fax: 254-666-2131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number127950
License Number StateTX

VIII. Authorized Official

Name: MR. ABBAS RAHIMI
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 254-666-2130