Provider Demographics
NPI:1336756683
Name:OASIS EASTERN HOSPICE CARE
Entity Type:Organization
Organization Name:OASIS EASTERN HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-602-7151
Mailing Address - Street 1:438 E KATELLA AVE STE 222
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-4859
Mailing Address - Country:US
Mailing Address - Phone:714-602-7151
Mailing Address - Fax:714-941-9475
Practice Address - Street 1:438 E KATELLA AVE STE 222
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-4859
Practice Address - Country:US
Practice Address - Phone:714-602-7151
Practice Address - Fax:714-941-9475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based