Healthcare Provider Details

I. General information

NPI: 1184495749
Provider Name (Legal Business Name): OASIS HOME CARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2024
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6918 IRONGATE DR
NORTH CHESTERFIELD VA
23234-2843
US

IV. Provider business mailing address

PO BOX 37232
NORTH CHESTERFIELD VA
23234-7232
US

V. Phone/Fax

Practice location:
  • Phone: 804-943-9592
  • Fax: 804-655-6806
Mailing address:
  • Phone: 804-943-9592
  • Fax: 804-655-6806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: NATALIA WHITE
Title or Position: OWNER/CEO
Credential:
Phone: 804-943-9592