Provider Demographics
NPI:1124712971
Name:OAKFAITH LLC
Entity type:Organization
Organization Name:OAKFAITH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-585-4919
Mailing Address - Street 1:1129 WEAVER DAIRY ROAD STE T, BOX 16001
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1960
Mailing Address - Country:US
Mailing Address - Phone:919-585-4919
Mailing Address - Fax:
Practice Address - Street 1:3010 CORINTH LN
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-3271
Practice Address - Country:US
Practice Address - Phone:919-585-4919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home