Healthcare Provider Details

I. General information

NPI: 1487444238
Provider Name (Legal Business Name): CO-LIVING OASIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 ARCOLA CT
HENDERSON NV
89015-1744
US

IV. Provider business mailing address

7911 SATINY CT
N LAS VEGAS NV
89084-4926
US

V. Phone/Fax

Practice location:
  • Phone: 702-323-4077
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: NESHELE WRIGHT
Title or Position: ADMIN
Credential:
Phone: 702-323-4077