Provider Demographics
NPI:1639949159
Name:WELLBEING OASIS HOME CARE, LLC
Entity Type:Organization
Organization Name:WELLBEING OASIS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MODELINE
Authorized Official - Middle Name:DOXY
Authorized Official - Last Name:VALCOURT
Authorized Official - Suffix:
Authorized Official - Credentials:CAN
Authorized Official - Phone:386-279-9634
Mailing Address - Street 1:373 ONEIDA DR
Mailing Address - Street 2:
Mailing Address - City:SINKING SPG
Mailing Address - State:PA
Mailing Address - Zip Code:19608-8910
Mailing Address - Country:US
Mailing Address - Phone:386-279-9634
Mailing Address - Fax:
Practice Address - Street 1:373 ONEIDA DR
Practice Address - Street 2:
Practice Address - City:SINKING SPG
Practice Address - State:PA
Practice Address - Zip Code:19608-8910
Practice Address - Country:US
Practice Address - Phone:386-279-9634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health