OASIS RENEWAL CENTER (NPI# 1750656468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750656468 |
| Entity Type | Organization |
| Organization Name | OASIS RENEWAL CENTER |
| Practice Address |
1201 River Rd North Little Rock AR 72114-4583 |
| Mailing Address |
14913 Cooper Orbit Rd Little Rock AR 72223-3903 |
| Practice Telephone | 5013724611 |
| Practice Fax Number | 5013721801 |
| Mailing Telephone | 5013722747 |
| Mailing Fax Number | 5013721801 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | CAROLE BAXTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5013724611 |
| Is Organization Subpart | Y |
| Parent Organization Name | RECOVERY CENTERS OF ARKANSAS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | AR | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OASIS RENEWAL CENTER | 1201 River Rd, North Little Rock, AR 72114-4583 |
| Street Address |
1201 RIVER RD |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72114-4583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275885949 | Buddy Aaron Bond-martin | Counselor | 1201 River Rd, North Little Rock, AR 72114-4583 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
| 1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
| 1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
| 1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
| 1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
| 1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
| 1881878064 | Marie A Graham | Nurse Practitioner | 636 West Broadway St, No Little Rock, AR 72114 | 2007-12-24 |
| Find all providers in zip 72114 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255971610 | Nsrc Oakgrove LLC | Substance Abuse Rehabilitation Facility | 10025 Oakland Dr, North Little Rock, AR 72118-1942 | 2020-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737762 | Retreat At Skyridge | Substance Abuse Rehabilitation Facility | 637 County Road 111, Eureka Springs, AR 72631-9030 | 2020-07-09 |
| 1295385359 | Atlas Healthcare Associates, LLC | Substance Abuse Rehabilitation Facility | 408 Office Park Dr Ste 2, Bryant, AR 72022-7536 | 2019-09-19 |
| 1609429778 | Coatc LLC | Substance Abuse Rehabilitation Facility | 1807 E Lawson Rd, Little Rock, AR 72210-5012 | 2019-07-18 |
| 1730640558 | Teen Challenge Women's Ministries | Substance Abuse Rehabilitation Facility | 618 S Knoxville Ave, Russellville, AR 72801-6419 | 2019-03-26 |
| 1780114611 | Applegate Health Services, Inc | Substance Abuse Rehabilitation Facility | 403 W Oak St Ste 105, El Dorado, AR 71730-4573 | 2017-06-13 |
| 1518494863 | Cscb Rehabilitation Management Group, LLC | Substance Abuse Rehabilitation Facility | 1 Lile Court, Suite 103, Little Rock, AR 77005 | 2017-05-17 |
| 1013468925 | Preferred Family Health Care, Inc | Substance Abuse Rehabilitation Facility | 9219 Sibley Hall Road, Little Rock, AR 72209-0000 | 2016-10-17 |
| 1174907463 | Southwest Arkansas Counseling & Mental Health Center, Inc | Substance Abuse Rehabilitation Facility | 7000 N Stateline, Texarkana, AR 71854-2536 | 2015-07-16 |
| 1851770564 | Better Community Development, Inc | Substance Abuse Rehabilitation Facility | 3604 W 12th St, Little Rock, AR 72204-2139 | 2015-05-27 |
| 1932591187 | Phoenix Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 1224 Jersey St, Conway, AR 72032-4658 | 2015-02-25 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.