MEDICARE: OASIS HOSPICE & PALLIATIVE 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	315D00000X	Inpatient Hospice
2	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1699639237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS HOSPICE & PALLIATIVE CARE LLC

Provider Business Mailing Address
First Line	:	280 MERCHANTS SQ RM A
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30132-5029
Country	:	US
Telephone Number	:	404-996-7622
Fax Number	:

Provider Business Practice Location Address
First Line	:	280 MERCHANTS SQ RM A
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30132-5029
Country	:	US
Telephone Number	:	404-996-7622
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LAWRENCE ANUFORO
Credential	:
Telephone Number	:	404-996-7622

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “OASIS HOSPICE & PALLIATIVE CARE LLC ” Practice Location

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