OXFORD SENIOR LIVING, LLC (NPI# 1912125592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912125592 |
| Entity Type | Organization |
| Organization Name | OXFORD SENIOR LIVING, LLC |
| Other Organization Name | AZALEA GARDENS |
| Practice Address |
100 Azalea Dr Oxford MS 38655-8113 |
| Mailing Address |
3723 Fairview Industrial Dr Se Suite 270 Salem OR 97302-1177 |
| Practice Telephone | 6622349600 |
| Mailing Telephone | 5034854600 |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JON HARDER (MANAGER) |
| Authorized Official Telephone | 5034854600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 800 | MA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Azalea Gardens | Doing Business As Name - Organization |
| Street Address |
100 AZALEA DR |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-8113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619528593 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 100 Azalea Dr, Oxford, MS 38655-7372 | 2019-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548819733 | Snh Omiss Tenant LLC | Assisted Living Facility | 1488 Belk Blvd, Oxford, MS 38655-5356 | 2019-09-10 |
| 1023519766 | The Blake At Oxford | Assisted Living Facility | 110 Ed Perry Blvd, Oxford, MS 38655-3452 | 2018-02-27 |
| 1083866552 | Joy Home, Inc. | Assisted Living Facility | 419 No Pacific Ave., Oxford, KS 67119 | 2008-10-16 |
| 1710102843 | Pine Gardens Adult Care | Assisted Living Facility | 6016 Pinetown Rd, Oxford, NC 27565-7955 | 2007-04-16 |
| 1851449136 | Granville House | Assisted Living Facility | 200 Coventry Dr, Oxford, NC 27565-4005 | 2007-01-05 |
| 1922594290 | Southern Living for Seniors of Oxford Nc LLC | Assisted Living Facility | 904 Raleigh St, Oxford, NC 27565-3744 | 2018-07-10 |
| 1942792288 | North Carolina Community Homes, LLC | Assisted Living Facility | 6659 Private School Rd, Oxford, NC 27565-7601 | 2018-06-02 |
| 1881019883 | Mission Oaks Assisted Living | Assisted Living Facility | 10780 N Us Highway 301, Oxford, FL 34484-3505 | 2014-02-27 |
| 1033546585 | Summit Communities, LLC | Assisted Living Facility | 904 Raleigh St, Oxford, NC 27565-3744 | 2013-09-30 |
| 1063606481 | S & J Family Care Home | Assisted Living Facility | 308 Person St, Oxford, NC 27565-3732 | 2007-08-29 |
| Find all providers in OXFORD | ||||
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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.