Oak Park Manor Operator, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OAK PARK MANOR OPERATOR, LLC

Doing business as

Oak Park Manor

Practice address

501 S College Ave
Claremont, CA 91711-5527

Phone

(909) 626-0117

Fax

(909) 625-1654

NPI assigned

Jan 15, 2013

Last updated

Feb 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melyn Cadabes

Title

VP of Financial Services

Phone

(818) 273-8900

Specialties & licenses 1

Addresses

Other names 1

• Oak Park Manor Doing business as

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1326385907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 PENNSYLVANIA AVE",
            "address_2": "SUITE 107",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143369",
            "telephone_number": "818-273-8900",
            "fax_number": "818-273-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S COLLEGE AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917115527",
            "telephone_number": "909-626-0117",
            "fax_number": "909-625-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK MANOR OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "CADABES",
        "authorized_official_first_name": "MELYN",
        "authorized_official_title_or_position": "VP OF FINANCIAL SERVICES",
        "authorized_official_telephone_number": "818-273-8900"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Park Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rae Michael Nolan
• Normal Life of California, Inc.
• Normal Life of California, Inc.
• Allen Nunokawa
• Felix Michoki Nyangau
• Katherine Elizabeth Oakley, M.D.
• Maryann Ngozi Obidike, MHM
• Tamara L. Obregon Madera, PSY.D
• Diane Snell Offner, MSW LCSW
• Matthew Lynn-Hwan Oh, DPT

• Assisted Living Facility in Claremont, CA
• Providers in Claremont, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.