Provider Demographics
NPI:1902613201
Name:OASIS HOME LIVING INC
Entity type:Organization
Organization Name:OASIS HOME LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTIROS
Authorized Official - Middle Name:MIKE
Authorized Official - Last Name:GEOZALYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-356-2921
Mailing Address - Street 1:9254 BALCOM AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-2304
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9254 BALCOM AVE
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-2304
Practice Address - Country:US
Practice Address - Phone:747-356-2921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility