Fruitvale Long Term Care LLC
NPI 1508295478 · Skilled Nursing Facility · Oakland, CA
Fruitvale Long Term Care LLC is a Skilled Nursing Facility organization in Oakland, CA (NPI 1508295478).
Provider details
- NPI number
- 1508295478
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kam Mcgavock, President(410) 773-1000
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Other names (DBA / former)
- Doing business as
- Fruitvale Health Care Center
Registry dates
- Enumerated
- 2013-11-01
- Last updated
- 2013-11-01
Frequently asked questions
- What is Fruitvale Long Term Care LLC's NPI number?
- Fruitvale Long Term Care LLC's National Provider Identifier (NPI) is 1508295478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fruitvale Long Term Care LLC?
- Fruitvale Long Term Care LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Fruitvale Long Term Care LLC located?
- Fruitvale Long Term Care LLC's practice location on file with NPPES is 3020 E 15th St, Oakland, CA 94601-2305.
- What is Fruitvale Long Term Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Fruitvale Long Term Care LLC is (510) 261-5613.
- Who is the authorized official for Fruitvale Long Term Care LLC?
- The authorized official listed on Fruitvale Long Term Care LLC's NPPES record is Kam Mcgavock, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fruitvale Long Term Care LLC's NPI active?
- Yes — Fruitvale Long Term Care LLC's NPI (1508295478) is active in the NPPES registry as of the last update on 2013-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.