Provider Demographics
NPI:1982928982
Name:OASIS FOSTER HOME
Entity Type:Organization
Organization Name:OASIS FOSTER HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MALDONADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-842-9117
Mailing Address - Street 1:6313 WESTWIND DR.
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3206
Mailing Address - Country:US
Mailing Address - Phone:915-842-9117
Mailing Address - Fax:915-842-9117
Practice Address - Street 1:6313 WESTWIND DR.
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3206
Practice Address - Country:US
Practice Address - Phone:915-842-9117
Practice Address - Fax:915-842-9117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-19
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX253J00000XOtherTEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES