Provider Demographics
NPI:1285886226
Name:OAK FOREST HEALTH AND REHABILITATION COMPANY
Entity type:Organization
Organization Name:OAK FOREST HEALTH AND REHABILITATION COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SPRENGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-608-9123
Mailing Address - Street 1:229 AIRPORT RD
Mailing Address - Street 2:SUITE 7-104
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-6402
Mailing Address - Country:US
Mailing Address - Phone:919-608-9123
Mailing Address - Fax:919-882-9771
Practice Address - Street 1:5680 WINDY HILL DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27105-1425
Practice Address - Country:US
Practice Address - Phone:336-776-5000
Practice Address - Fax:919-882-9771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0548314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3415443Medicaid
NC3475443Medicaid
NC345443Medicare Oscar/Certification