Healthcare Provider Details

I. General information

NPI: 1639949159
Provider Name (Legal Business Name): WELLBEING OASIS HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2024
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 ONEIDA DR
SINKING SPG PA
19608-8910
US

IV. Provider business mailing address

373 ONEIDA DR
SINKING SPG PA
19608-8910
US

V. Phone/Fax

Practice location:
  • Phone: 386-279-9634
  • Fax:
Mailing address:
  • Phone: 386-279-9634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MODELINE DOXY VALCOURT
Title or Position: CEO
Credential: CAN
Phone: 386-279-9634