MEDICARE: OASIS RESIDENTIAL CARE INC

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	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1881806743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS RESIDENTIAL CARE INC

Provider Business Mailing Address
First Line	:	17868 ARGONNE ESTATES DR
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63034-1334
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3508 PRAIRIE AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63107-2214
Country	:	US
Telephone Number	:	314-534-3355
Fax Number	:

Authorized Official
Title or Position	:	VPRES
Name	:	SHERMAN STRONG
Credential	:
Telephone Number	:	314-534-3355

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	08/22/2020

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