Provider Demographics
NPI:1568185460
Name:OASIS BEHAVIORAL HOME HEALTH LLC
Entity Type:Organization
Organization Name:OASIS BEHAVIORAL HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL HEALTH CLINICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ABIODUN
Authorized Official - Last Name:ONI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, PMHNP-BC, APRN
Authorized Official - Phone:509-919-9798
Mailing Address - Street 1:75604 E REATA RD
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338-8933
Mailing Address - Country:US
Mailing Address - Phone:509-919-9798
Mailing Address - Fax:
Practice Address - Street 1:404 BRADLEY BLVD STE 302
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-5005
Practice Address - Country:US
Practice Address - Phone:509-778-0005
Practice Address - Fax:509-578-5779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty