Healthcare Provider Details

I. General information

NPI: 1821936899
Provider Name (Legal Business Name): OKSANA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1418 SPRING ST SE
SMYRNA GA
30080-3639
US

IV. Provider business mailing address

3905 HALISPORT DR NW
KENNESAW GA
30152-4078
US

V. Phone/Fax

Practice location:
  • Phone: 770-319-1000
  • Fax:
Mailing address:
  • Phone: 770-319-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number State

VIII. Authorized Official

Name: NATALY MARIA SICH
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 740-275-7559