Healthcare Provider Details

I. General information

NPI: 1497631592
Provider Name (Legal Business Name): OASIS HOMECARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 S MAIN ST # 214
JONESBORO GA
30236-3599
US

IV. Provider business mailing address

191 JACLAIRE LN
MCDONOUGH GA
30252-3117
US

V. Phone/Fax

Practice location:
  • Phone: 855-491-8880
  • Fax:
Mailing address:
  • Phone: 404-781-1016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ENNA SHEFFIELD BECK
Title or Position: ADMINISTRATOR
Credential:
Phone: 404-781-1016