OrganizationActive
Fair Oaks Residential Treatment Facility, LLC
NPI 1114679305 · Nursing Care Agency · Hayward, CA
Fair Oaks Residential Treatment Facility, LLC is a Nursing Care Agency organization in Hayward, CA (NPI 1114679305).
Provider details
- NPI number
- 1114679305
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Alex Rudakov, Secretary(415) 812-2955
Specialties & taxonomies
Agencies
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1782 B St
Hayward, CA 94541-3102
Phone: (916) 458-4100
Street-level locationGet directions
Mailing address
2880 Zanker Rd Ste 106
San Jose, CA 95134-2121
Registry dates
- Enumerated
- 2022-01-19
- Last updated
- 2022-01-19
- Certified
- 2022-01-12
Frequently asked questions
- What is Fair Oaks Residential Treatment Facility, LLC's NPI number?
- Fair Oaks Residential Treatment Facility, LLC's National Provider Identifier (NPI) is 1114679305, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fair Oaks Residential Treatment Facility, LLC?
- Fair Oaks Residential Treatment Facility, LLC is classified in the NPPES registry as Nursing Care Agency (Agencies).
- Where is Fair Oaks Residential Treatment Facility, LLC located?
- Fair Oaks Residential Treatment Facility, LLC's practice location on file with NPPES is 1782 B St, Hayward, CA 94541-3102.
- What is Fair Oaks Residential Treatment Facility, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fair Oaks Residential Treatment Facility, LLC is (916) 458-4100.
- Who is the authorized official for Fair Oaks Residential Treatment Facility, LLC?
- The authorized official listed on Fair Oaks Residential Treatment Facility, LLC's NPPES record is Alex Rudakov, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fair Oaks Residential Treatment Facility, LLC's NPI active?
- Yes — Fair Oaks Residential Treatment Facility, LLC's NPI (1114679305) is active in the NPPES registry as of the last update on 2022-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.