Provider Demographics
NPI:1316360845
Name:OASIS REHABILITATION AND NURSING LLC
Entity Type:Organization
Organization Name:OASIS REHABILITATION AND NURSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BILLING
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:POLIMENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-671-4100
Mailing Address - Street 1:6 FROWEIN RD
Mailing Address - Street 2:
Mailing Address - City:CENTER MORICHES
Mailing Address - State:NY
Mailing Address - Zip Code:11934-1604
Mailing Address - Country:US
Mailing Address - Phone:516-671-4100
Mailing Address - Fax:516-671-9458
Practice Address - Street 1:6 FROWEIN RD
Practice Address - Street 2:
Practice Address - City:CENTER MORICHES
Practice Address - State:NY
Practice Address - Zip Code:11934-1604
Practice Address - Country:US
Practice Address - Phone:516-671-4100
Practice Address - Fax:516-671-9458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5151320N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00311399Medicaid
NY00311399Medicaid