Provider Demographics
NPI:1689301426
Name:OASIS OF HOPE FOUNDATION
Entity Type:Organization
Organization Name:OASIS OF HOPE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:BRAGDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-529-0749
Mailing Address - Street 1:108 COMMONS BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-7766
Mailing Address - Country:US
Mailing Address - Phone:864-559-8192
Mailing Address - Fax:
Practice Address - Street 1:108 COMMONS BLVD STE B
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:SC
Practice Address - Zip Code:29673-7766
Practice Address - Country:US
Practice Address - Phone:864-559-8192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty