Provider Demographics
NPI:1689897274
Name:OASIS PRIMARY HOMECARE, INC.
Entity Type:Organization
Organization Name:OASIS PRIMARY HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SANTOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:SKARIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-778-6200
Mailing Address - Street 1:3202 N CLOSNER BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-3428
Mailing Address - Country:US
Mailing Address - Phone:956-778-6200
Mailing Address - Fax:956-289-1046
Practice Address - Street 1:3202 N CLOSNER BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542
Practice Address - Country:US
Practice Address - Phone:956-778-6200
Practice Address - Fax:956-289-1046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007496251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health