Healthcare Provider Details

I. General information

NPI: 1760345573
Provider Name (Legal Business Name): OASIS HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 DAN RD
CANTON MA
02021-2852
US

IV. Provider business mailing address

45 DAN RD
CANTON MA
02021-2852
US

V. Phone/Fax

Practice location:
  • Phone: 781-546-9648
  • Fax: 781-546-9665
Mailing address:
  • Phone: 781-546-9648
  • Fax: 781-546-9665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ADEDAYO DANSU
Title or Position: MANAGER
Credential:
Phone: 617-980-8478