Healthcare Provider Details

I. General information

NPI: 1598658775
Provider Name (Legal Business Name): CAPITAL CITY OASIS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 DELTA CT STE 14
TALLAHASSEE FL
32303-4875
US

IV. Provider business mailing address

863 FOOTMAN LN
TALLAHASSEE FL
32317-8078
US

V. Phone/Fax

Practice location:
  • Phone: 850-879-6748
  • Fax:
Mailing address:
  • Phone: 850-879-6748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAWANNA FOOTMAN
Title or Position: OWNER
Credential:
Phone: 850-879-6748