MEDICARE: OAK HEALTH CARE INVESTORS OF MT VERNON, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility	0495N	OH
2	314000000X	Skilled Nursing Facility	0495N	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316993355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAK HEALTH CARE INVESTORS OF MT VERNON, INC.

Provider Business Mailing Address
First Line	:	8181 WORTHINGTON RD
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43082-8067
Country	:	US
Telephone Number	:	614-794-8800
Fax Number	:	614-794-8826

Provider Business Practice Location Address
First Line	:	13 AVALON RD
Second Line	:
City	:	MOUNT VERNON
State	:	OH
Zip	:	43050-1403
Country	:	US
Telephone Number	:	740-397-3200
Fax Number	:	740-397-4326

Authorized Official
Title or Position	:	CFO
Name	:	ANIS HUNT
Credential	:
Telephone Number	:	614-794-8800

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	11/16/2016

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