Healthcare Provider Details

I. General information

NPI: 1780520130
Provider Name (Legal Business Name): OASIS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7289 NATURAL BRIDGE RD
SAINT LOUIS MO
63121-5045
US

IV. Provider business mailing address

7289 NATURAL BRIDGE RD
SAINT LOUIS MO
63121-5045
US

V. Phone/Fax

Practice location:
  • Phone: 314-308-2080
  • Fax:
Mailing address:
  • Phone:
  • 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: CRYSTAL JOHNSON
Title or Position: MANAGING MEMBER
Credential:
Phone: 314-308-2080