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NPI Code Detail

MEDICARE: OAKS AT CENTRAL CITY LLC

MEDICARE: OAKS AT CENTRAL CITY LLC
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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1578244299
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAKS AT CENTRAL CITY LLC
Provider Business Mailing Address
First Line : 265 E MERRICK RD STE 205
Second Line :
City : VALLEY STREAM
State : NY
Zip : 11580-6004
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2720 17TH AVE
Second Line :
City : CENTRAL CITY
State : NE
Zip : 68826-9614
Country : US
Telephone Number : 308-946-3088
Fax Number : 308-946-2068
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : ARI SILBERSTEIN
Credential :
Telephone Number : 308-946-3088
Provider Enumeration Date : 07/26/2023
Last Update Date : 10/06/2023

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Directions to “OAKS AT CENTRAL CITY LLC ” Practice Location

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