FAIR OAKS RESIDENTIAL TREATMENT FACILITY, LLC
NPI 1114679305
Nursing Care in Hayward, CA
About Fair Oaks Residential Treatment Facility, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIR OAKS RESIDENTIAL TREATMENT FACILITY, LLC (NPI 1114679305) is a healthcare organization registered as a nursing care in Hayward, California and active in the NPI registry since January 2022. The organization lists Alex Rudakov, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fair Oaks Residential Treatment Facility, LLC's NPI number?
The NPI number for Fair Oaks Residential Treatment Facility, LLC is 1114679305. It was assigned to this organization in the NPPES registry on January 19, 2022.
Where is Fair Oaks Residential Treatment Facility, LLC located?
Fair Oaks Residential Treatment Facility, LLC is located at 1782 B St, Hayward, CA 94541. The listed phone number is (916) 458-4100.
What is Fair Oaks Residential Treatment Facility, LLC's specialty?
The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.
When was this NPI record last updated?
The NPPES record for Fair Oaks Residential Treatment Facility, LLC was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fair Oaks Residential Treatment Facility, Llc · NPI 1114679305
Nursing Care organization in Hayward, California. Organization record, active in the CMS NPPES registry since January 19, 2022.
## Identity
- **NPI:** 1114679305 (Entity type: Organization)
- **Enumerated:** January 19, 2022
- **Primary specialty:** Nursing Care · taxonomy 251J00000X
- **Organization subpart:** No
- **Authorized official:** Alex Rudakov, SECRETARY
## Practice location
- **Address:** 1782 B ST, Hayward, CA 94541-3102
- **Phone:** (916) 458-4100
## Record status
- **NPPES last updated:** January 19, 2022
- **Other identifiers:** Medicaid 2880 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1114679305) · Data from the CMS NPPES public registry.