OAKWOOD OPERATING CO, LLC (NPI# 1417903816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417903816 |
| Entity Type | Organization |
| Organization Name | OAKWOOD OPERATING CO, LLC |
| Other Organization Name | AFFINITY SKILLED LIVING & REHABILITATION CENTER |
| Practice Address |
305 Locust Ave Oakdale NY 11769-1652 |
| Practice Telephone | 6312185900 |
| Practice Fax Number | 6312185905 |
| Mailing Telephone | 6312185900 |
| Mailing Fax Number | 6312185905 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-08-13 |
| Authorized Official Name | MR. JONATHAN GEWIRTZ (MANAGER, FISCAL OVERSIGHT) |
| Authorized Official Telephone | 9145888379 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 5154323N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02339119 | 05 |
| Other Name | Type Code |
|---|---|
| AFFINITY SKILLED LIVING & REHABILITATION CENTER | Doing Business As Name - Organization |
| Street Address |
305 LOCUST AVE |
| City | OAKDALE |
| State | NY |
| Zip Code | 11769-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396300125 | Jacqueline Morgan | Physical Therapist | 305 Locust Ave, Oakdale, NY 11769-1652 | 2019-05-07 |
| 1932764776 | Jamie Flowers | Physical Therapy Assistant | 305 Locust Ave, Oakdale, NY 11769-1652 | 2019-05-07 |
| 1366005282 | Michael C Moore | Physical Therapy Assistant | 305 Locust Ave, Oakdale, NY 11769-1652 | 2019-04-16 |
| 1972166171 | Carol Ann Tramontana | Occupational Therapy Assistant | 305 Locust Ave, Oakdale, NY 11769-1652 | 2019-04-15 |
| 1366905945 | Jennifer L Ohrnberger | Occupational Therapy Assistant | 305 Locust Ave, Oakdale, NY 11769-1652 | 2019-04-10 |
| 1184187668 | Arkadiusz N/a Dmochowski | Occupational Therapy Assistant | 305 Locust Ave, Oakdale, NY 11769-1652 | 2019-04-10 |
| 1477016343 | Mary Ann Beatty | Physical Therapy Assistant | 305 Locust Ave, Oakdale, NY 11769-1652 | 2019-04-09 |
| 1326501453 | Katherine M Gierloff | Occupational Therapist | 305 Locust Ave, Oakdale, NY 11769-1652 | 2019-04-06 |
| 1497217681 | Juana Rodriguez | Occupational Therapy Assistant | 305 Locust Ave, Oakdale, NY 11769-1652 | 2019-04-05 |
| 1932661121 | Patricia Mary Narvaez | Occupational Therapist | 305 Locust Ave, Oakdale, NY 11769-1652 | 2019-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730569153 | Sharon Ruckdeschel | Specialist | 32 La Salle Place, Oakdale, NY 11769 | 2015-06-01 |
| 1346583416 | Daniel Mathew Mccarthy | Registered Nurse | 151 Bridle Way, Oakdale, NY 11769 | 2013-03-27 |
| 1932469434 | Gail Santos | Licensed Practical Nurse | 141a Oakdale Bohemia Rd, Oakdale, NY 11769 | 2012-05-18 |
| 1609184647 | Jennifer King Farnum | Counselor | 371 Locust Ave, Oakdale, NY 11769 | 2010-09-23 |
| 1912220302 | Daniel Sacks Litwin | Acupuncturist | 2 Berard Blvd, Oakdale, NY 11769 | 2010-03-12 |
| 1760628804 | Deborah Ann Dimarzo | Massage Therapist | 5 Race Pl, Oakdale, NY 11769 | 2008-12-19 |
| 1790904662 | Agnes Marie Drescher | Social Worker | 532 Race Place, Oakdale, NY 11769 | 2007-04-25 |
| 1275652166 | Gina Marie Guschel | Physician Assistant | 4568 Sunrise Highway, Oakdale, NY 11769 | 2007-03-29 |
| 1366578726 | Mark Salerno | Dentist | 1219 Montauk Highway, Oakdale, NY 11769 | 2007-02-27 |
| 1609919984 | Bonnie Lynn Rubell | Occupational Therapist | 1227 2 Montauk Highway, Tender Age Pt Inc, Oakdale, NY 11769 | 2007-02-15 |
| Find all providers in zip 11769 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326049735 | Allen Oaks, LLC | Skilled Nursing Facility | 909 E 6th Ave, Oakdale, LA 71463-4101 | 2005-08-09 |
| 1003192634 | Allen Health Care Partners LLC | Skilled Nursing Facility | 909 E 6th Ave, Oakdale, LA 71463-4101 | 2011-10-27 |
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|---|---|---|---|---|
| 1730701343 | Diamond Medical Employment Agency Inc | Skilled Nursing Facility | 21873 Hempstead Ave, Queens Village, NY 11429-2103 | 2020-05-18 |
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1659936334 | Nelson Tannis | Skilled Nursing Facility | 165 Broadway, New York, NY 10006-1404 | 2019-05-07 |
| 1295390029 | Westgate Operations Associates LLC | Skilled Nursing Facility | 525 Beahan Rd, Rochester, NY 14624-3403 | 2019-05-07 |
| 1952883423 | Roscoe Regional Healthcare LLC | Skilled Nursing Facility | 420 Rockland Rd, Roscoe, NY 12776-6450 | 2018-08-31 |
| 1164904769 | Renaissance Healthcare Group, LLC | Skilled Nursing Facility | 4975 Albany Post Rd, Staatsburg, NY 12580-6032 | 2018-08-30 |
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1376058578 | Yonkers Gardens, LLC | Skilled Nursing Facility | 115 S Broadway, Yonkers, NY 10701-4006 | 2017-12-10 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.