Healthcare Provider Details

I. General information

NPI: 1740128297
Provider Name (Legal Business Name): LIVING OASIS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 FAIRBROOK DR
LITTLE ROCK AR
72205-2308
US

IV. Provider business mailing address

4 FAIRBROOK DR
LITTLE ROCK AR
72205-2308
US

V. Phone/Fax

Practice location:
  • Phone: 501-414-6456
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AYSIA EDMOND
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 501-414-6456