Healthcare Provider Details

I. General information

NPI: 1699639237
Provider Name (Legal Business Name): OASIS HOSPICE & PALLIATIVE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 MERCHANTS SQ RM A
DALLAS GA
30132-5029
US

IV. Provider business mailing address

280 MERCHANTS SQ RM A
DALLAS GA
30132-5029
US

V. Phone/Fax

Practice location:
  • Phone: 404-996-7622
  • Fax:
Mailing address:
  • Phone: 404-996-7622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE ANUFORO
Title or Position: ADMINISTRATOR
Credential:
Phone: 404-996-7622