Healthcare Provider Details

I. General information

NPI: 1982806154
Provider Name (Legal Business Name): OASIS HOME HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44121 HARRY BYRD HWY STE 180
ASHBURN VA
20147-5670
US

IV. Provider business mailing address

44121 HARRY BYRD HWY STE 180
ASHBURN VA
20147-5670
US

V. Phone/Fax

Practice location:
  • Phone: 703-858-9282
  • Fax: 703-858-9281
Mailing address:
  • Phone: 703-858-9282
  • Fax: 703-858-9281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANAB ALI
Title or Position: CLINICAL ADMINISTRATOR
Credential:
Phone: 703-858-9282