OASIS GROUP HOME LLC


Address: 2206 W. Spur Dr., Phoenix, AZ 85085-5752
Phone: 6025164492

OASIS GROUP HOME LLC (NPI# 1932725835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932725835
Entity Type Organization
Organization Name OASIS GROUP HOME LLC
Practice Address 2206 W. Spur Dr.
Phoenix
AZ 85085-5752
Practice Telephone 6025164492
Practice Fax Number 6232348284
Mailing Telephone 6025164492
Mailing Fax Number 6232348284
Enumeration Date 2020-06-17
Last Update Date 2020-06-17
Authorized Official Name MR. BENAVIDES EUSEBIO TORRENO (OWNER/MANAGER)
Authorized Official Telephone 6025164492
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities

Office Location

Street Address 2206 W. SPUR DR.
City PHOENIX
State AZ
Zip Code 85085-5752

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1235748369 Nicole Fountain Speech-Language Pathologist 25700 N. 21st Avenue, Phoenix, AZ 85085 2020-07-24
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1053785964 Cvs Pharmacy Pharmacy 28635 N North Vally Parkway, Phoenix, AZ 85085 2015-11-17
1417329897 Kelly Criswell Registered Nurse 32150 N North Foothills Dr, Phoenix, AZ 85085 2015-10-26
1417333717 Kristi Everett Social Worker 34225 N 27th Dr Bldg 5 Ste 146, Phoenix, AZ 85085 2015-08-10
1063849834 Albertsons Pharmacy Pharmacist 2406 W Bramble Berry Ln, Phoenix, AZ 85085 2013-10-10
1427354851 Carolyn Berg Newsome Marriage & Family Therapist 2060 W.whispering Wind Drive, Phoenix, AZ 85085 2011-02-02
1518273127 Jamie Lynn Born Social Worker 34406 N 27th Dr Bldg 6, Phoenix, AZ 85085 2010-08-20
1023347218 Lise Flores-reed Psychologist 34225 N. 27th Drive #110, Phoenix, AZ 85085 2009-12-17
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770125403 Desert Gem Assisted Living Facility, LLC Custodial Care Facility 3236 W. Eugie Avenue, Phoenix, AZ 85029 2019-10-15
1124679931 Lovin Touch LLC Custodial Care Facility 4130 W Northern Ave, Phoenix, AZ 85051-5765 2019-09-23
1164070819 Love Shines Behavioral Health Homes LLC Custodial Care Facility 16401 N 39th Pl, Phoenix, AZ 85032-3246 2019-08-27
1386147262 Desert View Assisted Living Custodial Care Facility 9401 N 36 Ave, Phoenix, AZ 85051-3305 2018-03-16
1699289215 Desert Springs Care Home L.L.C. Custodial Care Facility 3445 W Acoma Dr, Phoenix, AZ 85053-5620 2017-11-17
1750817763 Flerida Cabatic Custodial Care Facility 27413 N 23rd Dr, Phoenix, AZ 85085-4708 2017-05-11
1679947238 Garcia's Assisted Living Home LLC Custodial Care Facility 2742 E Pueblo Avenue, Phoenix, AZ 85040 2015-11-19
1447645833 Az Advanced Care LLC Custodial Care Facility 3137 W Lane Ave, Phoenix, AZ 85051-6522 2015-04-02
1447643069 Caring Haven Homes LLC Custodial Care Facility 420 W Sequoia Dr, Phoenix, AZ 85027-4727 2015-03-05
1346645702 Rebecca Siddiqui Custodial Care Facility 4113 W Hayward Ave, Phoenix, AZ 85051-5751 2014-10-28
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Competitor

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City PHOENIX
Zip Code 85085

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Dataset Information

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.

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