Oak Park Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OAK PARK HEALTHCARE, LLC

Doing business as

Oak Park Convalescent Hospital

Practice address

1625 Oak Park Blvd
Pleasant Hill, CA 94523-4487

Phone

(925) 935-5222

Fax

(925) 935-5211

NPI assigned

Jan 19, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Perry Byron Defoor

Title

Owner

Phone

(423) 308-1845

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oak Park Convalescent Hospital Doing business as

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1336470111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BROAD ST",
            "address_2": "SUITE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022671",
            "telephone_number": "423-308-1845",
            "fax_number": "423-398-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 OAK PARK BLVD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234487",
            "telephone_number": "925-935-5222",
            "fax_number": "925-935-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "DEFOOR",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-308-1845",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPAN",
            "identifier": "055049",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Park Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail Ellen O'Hara, DPT
• Patricia O'Malley, LMFT
• Nancy O'Neil, LCSW
• Frances Bernadette O'Neill
• Oak Creek Relational Counseling Center
• Amy Marie Obad
• Angad Singh Oberoi, D.O
• Nancy Elena Obrien, MFT
• Ocd Anxiety Centers California LLC
• Regin Okun

• Skilled Nursing Facility in Pleasant Hill, CA
• Providers in Pleasant Hill, 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 Sep 8, 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.