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NPI Code Detail

MEDICARE: CAPITAL CITY OASIS HOME CARE LLC

MEDICARE: CAPITAL CITY OASIS HOME 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
1376J00000XHomemaker
2251J00000XNursing Care Agency

General Provider Information

NPI Number : 1598658775
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPITAL CITY OASIS HOME CARE LLC
Provider Business Mailing Address
First Line : 863 FOOTMAN LN
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32317-8078
Country : US
Telephone Number : 850-879-6748
Fax Number :
Provider Business Practice Location Address
First Line : 215 DELTA CT STE 14
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32303-4875
Country : US
Telephone Number : 850-879-6748
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. TAWANNA FOOTMAN
Credential :
Telephone Number : 850-879-6748
Provider Enumeration Date : 05/29/2025
Last Update Date : 03/25/2026

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Directions to “CAPITAL CITY OASIS HOME CARE LLC ” Practice Location

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