Oak Grove Manor, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OAK GROVE MANOR, LLC

Practice address

3148 Arden Ave
San Bernardino, CA 92404-3506

Phone

(818) 433-1696

NPI assigned

Aug 22, 2023

Organization subpart

No

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

Authorized official

Name

Ellee Posner

Title

Operations Manager

Phone

(818) 433-1696

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1295519031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3148 ARDEN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3148 ARDEN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043506",
            "telephone_number": "818-433-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK GROVE MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "POSNER",
        "authorized_official_first_name": "ELLEE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "818-433-1696"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chima Sean Nzerem, D.O.
• Veronica O'Brien, C.A.T.C.-II
• Richard C O'Hara
• Kevin Dean O'Reilly, D.P.M.
• Lanni O'Reilly, APRN, FNP-BC
• Oasis Adhc, Inc
• Oasis Health Clinic
• Kaliaha Oaties
• Chioma Obasi
• Karen Sue Oberlin, MFT

• Skilled Nursing Facility in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.