MEDICARE: OASIS HOME HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407117021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS HOME HEALTH CENTER

Provider Business Mailing Address
First Line	:	388 W LITTLE YORK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-1303
Country	:	US
Telephone Number	:	832-230-0189
Fax Number	:	832-288-5695

Provider Business Practice Location Address
First Line	:	388 W LITTLE YORK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-1303
Country	:	US
Telephone Number	:	832-230-0189
Fax Number	:	832-288-5695

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	WYKEITA D WHITE
Credential	:
Telephone Number	:	832-656-1073

Provider Enumeration Date	:	05/30/2012
Last Update Date	:	03/05/2014

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Directions to “OASIS HOME HEALTH CENTER ” Practice Location

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