Provider Demographics
NPI:1134944150
Name:OASIS HOME CARE OF OHIO LLC
Entity type:Organization
Organization Name:OASIS HOME CARE OF OHIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACKSON
Authorized Official - Middle Name:
Authorized Official - Last Name:RWEMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-320-5317
Mailing Address - Street 1:7780 CORPORATE BLVD STE 1510
Mailing Address - Street 2:
Mailing Address - City:PLAIN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43064-3599
Mailing Address - Country:US
Mailing Address - Phone:603-320-5317
Mailing Address - Fax:
Practice Address - Street 1:7780 CORPORATE BLVD STE 1510
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-3599
Practice Address - Country:US
Practice Address - Phone:603-320-5317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care