MEDICARE: OASIS LIVING 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	310400000X	Assisted Living Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14002	OTHER	FL	AHCA

General Provider Information

NPI Number	:	1851289607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS LIVING CARE LLC

Provider Business Mailing Address
First Line	:	1411 LAKE VICTORIA DR
Second Line	:
City	:	LAKE WORTH BEACH
State	:	FL
Zip	:	33461-6122
Country	:	US
Telephone Number	:	561-247-7796
Fax Number	:	561-247-7796

Provider Business Practice Location Address
First Line	:	1411 LAKE VICTORIA DR
Second Line	:
City	:	LAKE WORTH BEACH
State	:	FL
Zip	:	33461-6122
Country	:	US
Telephone Number	:	561-247-7796
Fax Number	:	561-247-7796

Authorized Official
Title or Position	:	OWNER/ADMIN
Name	:	RAUL PEREZ BECERRA
Credential	:
Telephone Number	:	561-713-0607

Provider Enumeration Date	:	06/27/2025
Last Update Date	:	06/27/2025

Similar Medicare Providers

1659970374 — AMY MUELLER RN
Practice Location Address:

8960 RISCKY TRL
FORT WORTH, TX
76244-6122

Practice Phone: 520-820-2711
Practice Fax:

1821398868 — ANGELA ROSILLO L.M.H.C.,
Practice Location Address:

2665 AVENUE AU SOLEIL
DELRAY BEACH, FL
33483-6122

Practice Phone: 561-274-4224
Practice Fax:

1730604174 — MS. MARILYN MILORD ARNP
Practice Location Address:

2250 RIDGEWOOD CT
ROYAL PALM BEACH, FL
33411-6122

Practice Phone: 561-319-3184
Practice Fax:

1215724620 — YUNISLEYDIS B VALDES RODRIGUEZ
Practice Location Address:

600 DOGWOOD RD
WEST PALM BEACH, FL
33409-6122

Practice Phone: 561-484-4242
Practice Fax:

1225413149 — DANIEL KIM
Practice Location Address:

6122 W LAKE MEAD BLVD STE 105
LAS VEGAS, NV
89108-2659

Practice Phone: 412-951-2799
Practice Fax:

1114482254 — 247 CARE INC.
Practice Location Address:

1717 LAKE LORINE DR
ORLANDO, FL
32808-6122

Practice Phone: 438-764-7975
Practice Fax:

Directions to “OASIS LIVING CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.