OAKLANDIDENCE OPCO, LLC (NPI# 1982127338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982127338 |
| Entity Type | Organization |
| Organization Name | OAKLANDIDENCE OPCO, LLC |
| Other Organization Name | MEDICAL HILL HEALTHCARE CENTER |
| Practice Address |
475 29th St Oakland CA 94609-3510 |
| Mailing Address |
140 N Union Ave Ste 320 Farmington UT 84025-2956 |
| Practice Telephone | 8014479829 |
| Practice Fax Number | 8014479829 |
| Mailing Telephone | 8014479829 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2019-08-07 |
| Authorized Official Name | MARK HANCOCK (VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 8014479829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Medical Hill Healthcare Center | Doing Business As Name - Organization |
| Street Address |
475 29TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083634893 | Medical Hill Rehab Center, LLC | Skilled Nursing Facility | 475 29th St, Oakland, CA 94609-3510 | 2006-07-21 |
| 1952913196 | Vinson Banh | Physical Therapist | 475 29th St, Oakland, CA 94609-3510 | 2020-08-19 |
| 1326661174 | Tiffany Galaty | Speech-Language Pathologist | 475 29th St, Oakland, CA 94609-3510 | 2020-05-27 |
| 1700430790 | Meredith Jane Holmes | Social Worker | 475 29th St, Oakland, CA 94609-3510 | 2019-07-28 |
| 1467914887 | Morgan Jardon | Occupational Therapist | 475 29th St, Oakland, CA 94609-3510 | 2019-04-03 |
| 1750860383 | Joanna Pluhowski | Occupational Therapist | 475 29th St, Oakland, CA 94609-3510 | 2018-08-14 |
| 1942719554 | Yetsania Flores | Occupational Therapy Assistant | 475 29th St, Oakland, CA 94609-3510 | 2017-09-26 |
| 1497289300 | Meaza Tsegaye | Occupational Therapy Assistant | 475 29th St, Oakland, CA 94609-3510 | 2017-04-18 |
| 1255887410 | Cynthia Coelho | Dietitian, Registered | 475 29th St, Oakland, CA 94609-3510 | 2016-08-28 |
| 1649615907 | Rajavi Desai | Physical Therapist | 475 29th St, Oakland, CA 94609-3510 | 2013-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| 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 |
|---|---|---|---|---|
| 1073073623 | Home Care Solutions LLC | Skilled Nursing Facility | 620 Sanders Ln, Oakland, MD 21550-7773 | 2019-03-20 |
| 1336693654 | On Call Provider Service | Skilled Nursing Facility | 2321 86th Ave, Oakland, CA 94605-3907 | 2016-08-04 |
| 1083081723 | Windsor Willow Tree Nursing & Rehab Center, LLC | Skilled Nursing Facility | 2124 57th Ave, Oakland, CA 94621-4322 | 2015-08-28 |
| 1497875546 | Ssc Oakland Excell Operating Company Lp | Skilled Nursing Facility | 3025 High St, Oakland, CA 94619-1807 | 2007-03-30 |
| 1346382298 | Covenant Care California, LLC | Skilled Nursing Facility | 2124 57th Avenue, Oakland, CA 94621-4322 | 2007-02-13 |
| 1053450163 | Oak Facility Inc | Skilled Nursing Facility | 3030 Webster St, Oakland, CA 94609-3411 | 2007-02-05 |
| 1275670895 | Ssc Oakland Fruitvale Operating Company Lp | Skilled Nursing Facility | 3020 E 15th St, Oakland, CA 94601-2305 | 2007-01-31 |
| 1154478360 | Clinton Village Convalescent Hospital | Skilled Nursing Facility | 1833 10th Ave, Oakland, CA 94606-3023 | 2007-01-03 |
| 1437230943 | Humangood Norcal | Skilled Nursing Facility | 110 41st St./ 33 Linda Ave., Oakland, CA 94611 | 2006-10-18 |
| 1396832465 | Garfield Nursing Home, Inc. | Skilled Nursing Facility | 1451 28th Ave, Oakland, CA 94601-1632 | 2006-10-09 |
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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.