Healthcare Provider Details

I. General information

NPI: 1356137822
Provider Name (Legal Business Name): THE OASIS HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3038 PECAN CIR
FAIRFIELD CA
94533-7013
US

IV. Provider business mailing address

1152 HICKORY AVE
FAIRFIELD CA
94533-7094
US

V. Phone/Fax

Practice location:
  • Phone: 707-421-2338
  • Fax:
Mailing address:
  • Phone: 925-503-4134
  • Fax: 707-260-6889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHIELA MARIE ADAJAR DAVID
Title or Position: TREASURER
Credential: REGISTERED NURSE
Phone: 925-503-4134