Provider Demographics
NPI:1376235903
Name:OASIS CARE SERVICES LLC
Entity Type:Organization
Organization Name:OASIS CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NGABO JEAN BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:RWABUFIGIRI
Authorized Official - Suffix:
Authorized Official - Credentials:DSP
Authorized Official - Phone:480-662-9255
Mailing Address - Street 1:92 COLUMBIA ST APT 301
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-6338
Mailing Address - Country:US
Mailing Address - Phone:480-662-9255
Mailing Address - Fax:
Practice Address - Street 1:92 COLUMBIA ST APT 301
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6338
Practice Address - Country:US
Practice Address - Phone:480-662-9255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities