Healthcare Provider Details

I. General information

NPI: 1093227316
Provider Name (Legal Business Name): OASIS HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2017
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 PARK AVE STE 101
WORCESTER MA
01603-2035
US

IV. Provider business mailing address

708 PARK AVE STE 101
WORCESTER MA
01603-2035
US

V. Phone/Fax

Practice location:
  • Phone: 508-762-9692
  • Fax: 508-926-8038
Mailing address:
  • Phone: 508-762-9692
  • Fax: 508-926-8038

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 Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State

VIII. Authorized Official

Name: FABIOLA LOPEZ
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 508-762-9692