Provider Demographics
NPI:1205089596
Name:OASIS HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:OASIS HOME HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:CUCIO
Authorized Official - Last Name:SADURAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-765-0100
Mailing Address - Street 1:33 W HIGGINS RD STE 650
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-9134
Mailing Address - Country:US
Mailing Address - Phone:224-765-0100
Mailing Address - Fax:224-632-1164
Practice Address - Street 1:33 W HIGGINS RD STE 650
Practice Address - Street 2:
Practice Address - City:SOUTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-9134
Practice Address - Country:US
Practice Address - Phone:224-765-0100
Practice Address - Fax:224-632-1164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-30
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011190251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1011190OtherHOME HEALTH LICENSE