NPI Code Details Logo

NPI 1568381408

NPI 1568381408 : OASIS HOME CARE OF CONNECTICUT, LLC : BLOOMFIELD, CT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1568381408
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    OASIS HOME CARE OF CONNECTICUT, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/14/2026
-----------------------------------------------------
    Last Update Date     |    07/14/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    34 JEROME AVE STE 116 
-----------------------------------------------------
    City                 |    BLOOMFIELD
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06002-2463
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    508-762-9692
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    708 PARK AVE 
-----------------------------------------------------
    City                 |    WORCESTER
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    01603-2035
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO/OWNER
-----------------------------------------------------
    Name                 |     JUAINER  BEATO-LOPEZ 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    508-762-9692
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.