MEDICARE: OASIS FAMILY CARE 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	376J00000X	Homemaker
2	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497304901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS FAMILY CARE LLC

Provider Business Mailing Address
First Line	:	4719 TOWN N COUNTRY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-4524
Country	:	US
Telephone Number	:	813-519-9908
Fax Number	:

Provider Business Practice Location Address
First Line	:	4719 TOWN N COUNTRY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-4524
Country	:	US
Telephone Number	:	813-519-9908
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NATASHA BERRY
Credential	:
Telephone Number	:	813-519-9908

Provider Enumeration Date	:	09/06/2019
Last Update Date	:	02/05/2020

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Directions to “OASIS FAMILY CARE LLC ” Practice Location

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