Provider Demographics
NPI:1700375425
Name:OASIS CARE HOME LLC
Entity Type:Organization
Organization Name:OASIS CARE HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANDY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BRECHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-449-6156
Mailing Address - Street 1:514 BRITZ DR
Mailing Address - Street 2:
Mailing Address - City:LUVERNE
Mailing Address - State:MN
Mailing Address - Zip Code:56156-1000
Mailing Address - Country:US
Mailing Address - Phone:507-449-6154
Mailing Address - Fax:507-369-2743
Practice Address - Street 1:514 BRITZ DR
Practice Address - Street 2:
Practice Address - City:LUVERNE
Practice Address - State:MN
Practice Address - Zip Code:56156-1000
Practice Address - Country:US
Practice Address - Phone:507-449-6154
Practice Address - Fax:507-369-2743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility