Provider Demographics
NPI:1659552230
Name:OASIS HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:OASIS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:ADENIKE
Authorized Official - Last Name:OLADOKUN
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, FNP-BC
Authorized Official - Phone:520-421-1120
Mailing Address - Street 1:1106 NORTH PINAL AVENUE
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-4051
Mailing Address - Country:US
Mailing Address - Phone:520-421-1120
Mailing Address - Fax:520-421-2877
Practice Address - Street 1:115 E 1ST ST STE B
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-5201
Practice Address - Country:US
Practice Address - Phone:520-421-7132
Practice Address - Fax:520-421-2877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-23
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ037263Medicare PIN