Healthcare Provider Details

I. General information

NPI: 1568381408
Provider Name (Legal Business Name): OASIS HOME CARE OF CONNECTICUT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 JEROME AVE STE 116
BLOOMFIELD CT
06002-2463
US

IV. Provider business mailing address

708 PARK AVE
WORCESTER MA
01603-2035
US

V. Phone/Fax

Practice location:
  • Phone: 508-762-9692
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JUAINER BEATO-LOPEZ
Title or Position: CEO/OWNER
Credential:
Phone: 508-762-9692