FRUITVALE HEALTH CARE CENTER
NPI 1508295478
Skilled Nursing Facility in Oakland, CA

Active since November 01, 2013
3020 E 15TH ST, OAKLAND, CA 94601(510) 261-5613 Get Directions Write a Review

NPPES record last updated: November 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fruitvale Health Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRUITVALE HEALTH CARE CENTER (NPI 1508295478) is a healthcare organization registered as a skilled nursing facility in Oakland, California and active in the NPI registry since November 2013. The organization lists Kam Mcgavock, President, as its authorized official.

NPPES Registry Identity

NPI1508295478
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFRUITVALE LONG TERM CARE LLC
Location Address3020 E 15TH STOakland, CA 94601-2305
Mailing Address920 Ridgebrook RdSparks, MD 21152-9390
Organization SubpartNo
Authorized OfficialKam McgavockPresident · (410) 773-1000
Enumeration DateNovember 1, 2013
NPI 1508295478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3020 E 15TH ST, Oakland, CA 94601

Other Names 1

Doing Business AsFruitvale Health Care Center

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
3020 E 15TH ST
OAKLAND, CA 94601
Speech-Language Pathologist
3020 E 15TH ST
OAKLAND, CA 94601
Skilled Nursing Facility
3020 E 15TH ST
OAKLAND, CA 94601
Occupational Therapist
3020 E 15TH ST
OAKLAND, CA 94601
Physical Therapist
3020 E 15TH ST
OAKLAND, CA 94601

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 Fruitvale Long Term Care LLC's NPI number?

The NPI number for Fruitvale Long Term Care LLC is 1508295478. It was assigned to this organization in the NPPES registry on November 1, 2013. The provider is doing business as Fruitvale Health Care Center.

Where is Fruitvale Long Term Care LLC located?

Fruitvale Long Term Care LLC is located at 3020 E 15th St, Oakland, CA 94601. The listed phone number is (510) 261-5613.

What is Fruitvale Long Term Care LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Fruitvale Long Term Care LLC was last updated on November 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.