Healthcare Provider Details

I. General information

NPI: 1427861400
Provider Name (Legal Business Name): BETTER HEALTH OASIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48164 ROYAL POINTE DRIVE
CANTON MI
48187
US

IV. Provider business mailing address

43000 W 9 MILE RD STE 301
NOVI MI
48375-4129
US

V. Phone/Fax

Practice location:
  • Phone: 734-790-2358
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KELECHI AKUBUKWE
Title or Position: MANAGER
Credential:
Phone: 734-790-2358