Provider Demographics
NPI:1407117021
Name:OASIS HOME HEALTH CENTER
Entity Type:Organization
Organization Name:OASIS HOME HEALTH CENTER
Other - Org Name:OASIS HOME HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WYKEITA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-656-1073
Mailing Address - Street 1:388 W LITTLE YORK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-1303
Mailing Address - Country:US
Mailing Address - Phone:832-230-0189
Mailing Address - Fax:832-288-5695
Practice Address - Street 1:388 W LITTLE YORK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1303
Practice Address - Country:US
Practice Address - Phone:832-230-0189
Practice Address - Fax:832-288-5695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3113193Medicaid