Provider Demographics
NPI:1063651453
Name:OASES INSTITUTE OF HEALTH INC.
Entity Type:Organization
Organization Name:OASES INSTITUTE OF HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:NWANNA
Authorized Official - Last Name:NWOKIKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-380-8200
Mailing Address - Street 1:1800 INDUSTRIAL RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2685
Mailing Address - Country:US
Mailing Address - Phone:702-380-8200
Mailing Address - Fax:
Practice Address - Street 1:1800 INDUSTRIAL RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2685
Practice Address - Country:US
Practice Address - Phone:702-380-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12549261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health