Provider Demographics
NPI:1508460551
Name:OASIS FAMILY HEALTHCARE LLC
Entity Type:Organization
Organization Name:OASIS FAMILY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:JULMUS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:954-336-9462
Mailing Address - Street 1:26 SW 21ST PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-1346
Mailing Address - Country:US
Mailing Address - Phone:239-478-9166
Mailing Address - Fax:239-478-9166
Practice Address - Street 1:26 SW 21ST PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-1346
Practice Address - Country:US
Practice Address - Phone:239-478-9166
Practice Address - Fax:239-478-9166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health