MEDICARE: OASIS ONE HEALTHCARE SERVICES 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	010121	TX

General Provider Information

NPI Number	:	1518140961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS ONE HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	8700 COMMERCE PARK DR STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-7423
Country	:	US
Telephone Number	:	713-772-4782
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 COMMERCE PARK DR STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-7423
Country	:	US
Telephone Number	:	713-772-4782
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF NURSING
Name	:	CHRISTIAN ORADIEGWU
Credential	:
Telephone Number	:	713-772-4782

Provider Enumeration Date	:	12/07/2007
Last Update Date	:	12/07/2007

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