Healthcare Provider Details

I. General information

NPI: 1932819687
Provider Name (Legal Business Name): OASIS ADULT DAY CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 11/20/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

696 WEST 84TH AVENUE
THORNTON CO
80260
US

IV. Provider business mailing address

2860 CALLAN CT
BROOMFIELD CO
80023-4253
US

V. Phone/Fax

Practice location:
  • Phone: 720-504-4242
  • Fax: 303-265-9199
Mailing address:
  • Phone: 408-489-3771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. IBRAHIM AYAD
Title or Position: CEO
Credential:
Phone: 720-504-4242