=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629984588
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OASIS BAY CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/20/2026
-----------------------------------------------------
Last Update Date | 08/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2336 LAFAYETTE DR
-----------------------------------------------------
City | ANTIOCH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94509-5870
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-732-7734
-----------------------------------------------------
Fax | 925-732-7680
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2336 LAFAYETTE DR
-----------------------------------------------------
City | ANTIOCH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94509-5870
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-732-7734
-----------------------------------------------------
Fax | 925-732-7680
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. LAUREN-TYLER RILEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 810-259-9055
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------