Provider Demographics
NPI:1316567761
Name:CARE OASIS ASSISTED LIVING PROVIDERS LLC
Entity Type:Organization
Organization Name:CARE OASIS ASSISTED LIVING PROVIDERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAJO
Authorized Official - Middle Name:
Authorized Official - Last Name:ORUBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-278-0630
Mailing Address - Street 1:510 GODSEY RD APT 178
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-5731
Mailing Address - Country:US
Mailing Address - Phone:856-278-0630
Mailing Address - Fax:
Practice Address - Street 1:21573 GREEN SPRING RD
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-5847
Practice Address - Country:US
Practice Address - Phone:276-739-7777
Practice Address - Fax:276-739-7768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-25
Last Update Date:2020-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility