Provider Demographics
NPI:1215550520
Name:OASIS HEALTH VENTURES
Entity Type:Organization
Organization Name:OASIS HEALTH VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OMOWUMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAWALE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:443-854-5899
Mailing Address - Street 1:506 TYLNEY HALL CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21158-3039
Mailing Address - Country:US
Mailing Address - Phone:410-718-6700
Mailing Address - Fax:
Practice Address - Street 1:2500 N ROLLING RD STE 100
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-1999
Practice Address - Country:US
Practice Address - Phone:410-718-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OASIS HEALTH VENTURES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-20
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty