# TRINITY OAKLAND, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** High Street Nursing Center llc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306932322
- **Authorized official:** RANDAL KLEIS (PRESIDENT)
- **Authorized official phone:** (425) 820-9750

## Contact information

- **Practice address:** 3145 HIGH ST, OAKLAND, CA 94619-1839
- **Practice address phone:** (510) 533-9970
- **Practice address fax:** (510) 533-5488
- **Mailing address:** 3145 HIGH ST, OAKLAND, CA 94619-1839
- **Mailing address phone:** (510) 533-9970
- **Mailing address fax:** (510) 533-5488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 020000045 | CA | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | — | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | — | — |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 07/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55499H | — | CA |