Healthcare Provider Details
I. General information
NPI: 1245147073
Provider Name (Legal Business Name): OASIS RISINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 PEPPERIDGE LANE
MONROE NC
28110
US
IV. Provider business mailing address
200 PEPPERIDGE LANE
MONROE NC
28110
US
V. Phone/Fax
- Phone: 704-635-7070
- Fax: 704-741-2376
- Phone: 704-635-7070
- Fax: 704-741-2376
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PATIENCE
A
MONTGOMERY
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 281-798-0208