Oaklawn Development Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

101153 Issued in KY

Legal business name

OAKLAWN DEVELOPMENT OPERATIONS, LLC

Doing business as

Elmcroft at Oaklawn

Practice address

100 Shelby Station Dr
Louisville, KY 40245-4734

Phone

(502) 753-6394

Fax

(502) 253-9554

NPI assigned

Sep 27, 2013

Last updated

Sep 27, 2013By 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

Robin Leigh Barber, JD

Title

Vice President

Phone

(502) 753-6004

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elmcroft at Oaklawn Doing business as

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1366879959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6004",
            "fax_number": "502-753-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SHELBY STATION DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454734",
            "telephone_number": "502-753-6394",
            "fax_number": "502-253-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAWN DEVELOPMENT OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-753-6004",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KY",
            "license": "101153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE HOME LICENSE",
            "identifier": "101153",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcroft at Oaklawn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Shawn Oak, PHD, LMFT, LSW
• Dawn L Oak
• Devin Oak
• Michelle Ivy Oak, LMFT
• Chelsey Leigh Oakes, CRNA
• Teresa Lynn Oakley, LPTA
• Jessica Ann Oaks
• Charles Edwin Oates, M.D.
• Lauren Oates
• Oba, PLLC

• Assisted Living Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Assisted Living Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.