Oak Crest Village, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

118 Issued in MD

Legal business name

OAK CREST VILLAGE, INC.

Practice address

8800 Walther Blvd
Parkville, MD 21234-9001

Phone

(410) 655-1000

Fax

(410) 204-7237

NPI assigned

Jul 28, 2006

Last updated

Jan 21, 2015By 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

James K Walter

Title

Finance Director

Phone

(410) 402-2315

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649284423. Details of each certification follow.

• CCN 216643 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 216643

Legal name

OAK CREST VILLAGE REHAB AGENCY

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Feb 22, 1999

Last certification

Jul 12, 2023

Ownership / control type

Proprietary

Facility address

8800 Walther Blvd
Parkville, MD 21234

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1649284423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 WALTHER BLVD",
            "address_2": "ATTN: EXECUTIVE DIRECTOR",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212349025",
            "telephone_number": "410-665-1000",
            "fax_number": "410-204-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 WALTHER BLVD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212349001",
            "telephone_number": "410-655-1000",
            "fax_number": "410-204-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREST VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "410-402-2315"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MD",
            "license": "118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leylah Sabriah Nur, LMSW
• Janemaureen Nneka Nweke
• Elizabeth O'Hara
• Oak Crest Village, Inc
• Oak Crest Village, Inc. (Oak Crest Home Health Agency)
• Oak Crest Village, Inc. (Outpatient Rehabilitation Agency at Oak Crest)
• Oakcrest Village (skilled nursing fac.)
• Ashley Oakes, LCSW-C
• Opeyemi Temitope-Anita Obayemi
• Ogechi Ogbonna

• Ambulance in Parkville, MD
• Providers in Parkville, MD by specialty
• Ambulance in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.