Healthcare Provider Details

I. General information

NPI: 1528864139
Provider Name (Legal Business Name): OASIS EMPOWERMENT GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4303 HAMILTON AVE STE 2
CINCINNATI OH
45223-1795
US

IV. Provider business mailing address

4303 HAMILTON AVE STE 2
CINCINNATI OH
45223-1795
US

V. Phone/Fax

Practice location:
  • Phone: 513-302-9357
  • Fax:
Mailing address:
  • Phone: 513-302-9357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: KERRENCE S ROSE
Title or Position: DOO
Credential:
Phone: 513-302-9357