Oak HRC Spruce LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OAK HRC SPRUCE LLC

Practice address

220 S 4TH Ave
West Reading, PA 19611-1350

Phone

(610) 374-5175

NPI assigned

Nov 14, 2014

Organization subpart

Yes

Parent organization

OAK HEALTH AND REHABILITATION CENTERS INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Howard Jaffe

Title

Director of Reimbursement

Phone

(215) 346-6454

Specialties & licenses 1

Addresses

Other names 1

• Spruce Manor Nursing & Rehabilitation Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1275939456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S 4TH AVE",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111350",
            "telephone_number": "610-374-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S 4TH AVE",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111350",
            "telephone_number": "610-374-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HRC SPRUCE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAK HEALTH AND REHABILITATION CENTERS INC.",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "215-346-6454"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spruce Manor Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ron D. Nutting, M.D.
• Elizabeth O'Connor
• Bernard J. O'Neill, M.D.
• Craig Alan O'Neill, M.D.
• Daniel J. O'Shea, M.D.
• Brian Jon Obst, DO
• Toluwanimi Ogbonmide
• Olubunmi K. Ojikutu, M.D.
• Nancy Olinger
• Jubril Onaneye, DO

• Skilled Nursing Facility in West Reading, PA
• Providers in West Reading, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.