Oaktree Health and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OAKTREE HEALTH AND REHABILITATION CENTER, LLC

Practice address

6500 Kirby Gate CV
Memphis, TN 38119-8203

Phone

(901) 752-0772

NPI assigned

Apr 1, 2015

Organization subpart

No

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

Authorized official

Name

Jimmy R Lewis

Title

Chief Manager

Phone

(423) 975-5455

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Christian Care Center of Memphis Doing business as

Locations

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1922493592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NORTHPARK DR",
            "address_2": "SUITE 2D",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043100",
            "telephone_number": "423-975-5455",
            "fax_number": "423-975-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 KIRBY GATE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198203",
            "telephone_number": "901-752-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKTREE HEALTH AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "423-975-5455"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q021687",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q021686",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Care Center of Memphis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey O'Neal, R.EPT
• Maneshia O'Neal, REGISTERED NURSE
• James O'Toole, MD
• O(Pen Mind). U(Nique). R(Estore). Counseling Services (Our Counseling
• Oak Street Health Physicians Group of Tennessee, PLLC
• Oakwood Care Homes LLC
• Oasis Living Community LLC
• Leslie Dininger Oattis, LPC
• OB GYN Centers of Memphis,Mpllc
• OB-GYN Specialists, P.C.

• Skilled Nursing Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.