MEDICARE: NEW OASIS GROUP LIMITED LIABILITY COMPANY

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	323P00000X	Psychiatric Residential Treatment Facility

General Provider Information

NPI Number	:	1841884947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW OASIS GROUP LIMITED LIABILITY COMPANY

Provider Business Mailing Address
First Line	:	5056 E ADAMS ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-4008
Country	:	US
Telephone Number	:	520-372-8289
Fax Number	:

Provider Business Practice Location Address
First Line	:	5056 E ADAMS ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-4008
Country	:	US
Telephone Number	:	520-230-8256
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	HIRAM NJOROGE
Credential	:	ADMINISTRATOR
Telephone Number	:	520-372-8289

Provider Enumeration Date	:	03/01/2021
Last Update Date	:	08/08/2023

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