=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033090220
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OASIVITA CARE SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2025
-----------------------------------------------------
Last Update Date | 09/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2406 SECOR RD
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43606-3178
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-423-2773
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2406 SECOR RD
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43606-3178
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-423-2773
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOO
-----------------------------------------------------
Name | VIVIAN ASAMOAH MENSAH
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 240-423-2773
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------