MEDICARE: OASIS HOME CARE OF BROWARD, INC.

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		FL

General Provider Information

NPI Number	:	1568607356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS HOME CARE OF BROWARD, INC.

Provider Business Mailing Address
First Line	:	2699 STIRLING ROAD, A-106
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33312-6543
Country	:	US
Telephone Number	:	954-391-5516
Fax Number	:	954-272-7765

Provider Business Practice Location Address
First Line	:	2699 STIRLING ROAD, A-106
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33312-6543
Country	:	US
Telephone Number	:	954-391-5516
Fax Number	:	954-272-7765

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MATT SAAGMAN
Credential	:
Telephone Number	:	954-391-5516

Provider Enumeration Date	:	12/08/2008
Last Update Date	:	12/12/2014

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