Healthcare Provider Details

I. General information

NPI: 1477493617
Provider Name (Legal Business Name): OASIS ADULT DAY HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51-59 TAYLOR ST 1ST FLOOR
SPRINGFIELD MA
01103-1265
US

IV. Provider business mailing address

51-59 TAYLOR ST 1ST FLOOR
SPRINGFIELD MA
01103-1265
US

V. Phone/Fax

Practice location:
  • Phone: 413-377-7777
  • Fax:
Mailing address:
  • Phone: 413-377-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEX EYDINOV
Title or Position: ADMINISTRATOR
Credential:
Phone: 413-377-7777