MEDICARE: OASIS SUPPORTIVE CARE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1942166582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS SUPPORTIVE CARE

Provider Business Mailing Address
First Line	:	6361 INDIAN RIVER RD STE 102
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-3585
Country	:	US
Telephone Number	:	757-322-0962
Fax Number	:

Provider Business Practice Location Address
First Line	:	6361 INDIAN RIVER RD STE 102
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-3585
Country	:	US
Telephone Number	:	757-322-0962
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. JESSICA COLES
Credential	:
Telephone Number	:	757-322-0962

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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Directions to “OASIS SUPPORTIVE CARE ” Practice Location

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