Provider Demographics
NPI:1356137822
Name:THE OASIS HOME INC
Entity type:Organization
Organization Name:THE OASIS HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIELA MARIE
Authorized Official - Middle Name:ADAJAR
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:925-503-4134
Mailing Address - Street 1:PO BOX 101
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-0010
Mailing Address - Country:US
Mailing Address - Phone:925-503-4134
Mailing Address - Fax:
Practice Address - Street 1:1152 HICKORY AVE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-7094
Practice Address - Country:US
Practice Address - Phone:925-503-4134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE OASIS HOME INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities