OAK ST HEALTHCARE LLC – NPI #1164290326
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

OAK ST HEALTHCARE LLC is a substance abuse rehabilitation facility located in PHOENIX, AZ. NPPES has assigned the NPI number 1164290326 to OAK ST HEALTHCARE LLC on December 18, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OAK ST HEALTHCARE LLC below.

NPI Profile for
OAK ST HEALTHCARE LLC

NPI Number
1164290326
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OAK ST HEALTHCARE LLC
Primary location
3201 E OAK ST
PHOENIX, AZ 85008
Phone: (952) 666-9915 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SILAS HARRIS
OWNER
Phone: (952) 666-9915
Updated
Certification Date
Dec 15, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
261QM2800X
- Clinic/Center / Methadone
251S00000X
- Community/Behavioral Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.