MEDICARE: OASIS HOME HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1366442345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	4300 HADDONFIELD RD
Second Line	:
City	:	PENNSAUKEN
State	:	NJ
Zip	:	08109-3376
Country	:	US
Telephone Number	:	973-909-5159
Fax Number	:

Provider Business Practice Location Address
First Line	:	5888 W SUNSET RD STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3453
Country	:	US
Telephone Number	:	702-382-3030
Fax Number	:	702-382-9394

Authorized Official
Title or Position	:	BOARD MEMBER
Name	:	DAVID BAIADA
Credential	:
Telephone Number	:	856-662-4300

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	05/24/2022

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Directions to “OASIS HOME HEALTH, LLC ” Practice Location

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