Provider Demographics
NPI: | 1508436890 |
---|---|
Name: | OASIS ASCENT, LLC |
Entity Type: | Organization |
Organization Name: | OASIS ASCENT, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BRENT |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ESPLIN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LMFT |
Authorized Official - Phone: | 801-491-2270 |
Mailing Address - Street 1: | 757 S MAIN ST |
Mailing Address - Street 2: | |
Mailing Address - City: | SPRINGVILLE |
Mailing Address - State: | UT |
Mailing Address - Zip Code: | 84663-2452 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 801-491-2270 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1624 E 4500 S |
Practice Address - Street 2: | |
Practice Address - City: | MILLCREEK |
Practice Address - State: | UT |
Practice Address - Zip Code: | 84117-4212 |
Practice Address - Country: | US |
Practice Address - Phone: | 801-491-2270 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-06-29 |
Last Update Date: | 2021-06-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 310500000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mental Illness | |
No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
No | 261QR0401X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder |
No | 273Y00000X | Hospital Units | Rehabilitation Unit | |
No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | |
No | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility | |
No | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | |
No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children |