# GLEN OAKS HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Viviant Healthcare of Shelbyville, Glen Oaks Health and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679116370
- **Authorized official:** MR. SAMUEL GOLDNER (PRESIDENT)
- **Authorized official phone:** (347) 677-0448

## Contact information

- **Practice address:** 1101 GLENOAKS RD, SHELBYVILLE, TN 37160
- **Practice address phone:** (615) 250-7100
- **Practice address fax:** (615) 250-7101
- **Mailing address:** 525 CHESTNUT STREET, CEDARHURST, NY 11516
- **Mailing address phone:** (347) 677-0448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/25/2019
- **Last updated:** 04/03/2020