Oasis Pavilion Nursing & Rehabilitation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI-2692 Issued in AZ

Legal business name

OASIS PAVILION NURSING & REHABILITATION CENTER

Practice address

161 W Rodeo Rd
Casa Grande, AZ 85122-6201

Phone

(520) 836-1772

NPI assigned

Nov 16, 2009

Last updated

Sep 23, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicollette Hodges

Title

Business Office Manager

Phone

(520) 421-4972

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063749836. Details of each certification follow.

• CCN 035276 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 035276

Legal name

OASIS PAVILION NURSING AND REHABILITATION CENTER, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 4, 2010

Last certification

Mar 7, 2024

Beds

134

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jun 26, 2008 in AZ

Enrollment address

161 W Rodeo Rd
Casa Grande, AZ 85122-6201

Nursing home name

OASIS PAVILION NURSING & REHABILITATION CENTER

Listed as

Oasis Pavilion Nursing & Rehabilitation CenterCCN 035276 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 4, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

134106.7 residents per day on average

Penalties (3 years)

2Fines totaling $9,174

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Oasis Pavilion Nursing and Rehab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Oasis Pavilion Nursing & Rehabilitation Center

  • Assisted Living Facility
  • Casa Grande, AZ
  • NPI 1376991356
  NPD tax ID
• Oasis Pavilion Nursing and Rehabilitation Center LLC-Otc

  • Skilled Nursing Facility
  • Casa Grande, AZ
  • NPI 1275901175
  NPD tax ID

Locations

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Florence Adenike Oladokun, FNP

  • Family Nurse Practitioner
  • Casa Grande, AZ
  • NPI 1558328013

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Rosemary Ifeyinwa Opara

  • Student in an Organized Health Care Education/Training Program
  • Scottsdale, AZ
  • NPI 1639591449

  5% Or Greater Direct Ownership Interest

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Diamond Care Santa Fe LLC

  • Skilled Nursing Facility
  • Santa Fe, NM
  • NPI 1093280281

  Compassion Care Management Services Inc

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Willis Buckner II, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1699068387
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• James Willis Buckner II, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1699068387

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1063749836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 W RODEO RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226201",
            "telephone_number": "520-836-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W RODEO RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226201",
            "telephone_number": "520-836-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS PAVILION NURSING & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "NICOLLETTE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "520-421-4972"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-2692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "035276",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johannes A Nurman, M.D.
• Dalys Marisol O'Connor
• Kary L O'Connor, CNS/CRNFA
• Oasis Home Dialysis
• Oasis Home Health Care LLC
• Oasis Pavilion Nursing & Rehabilitation Center
• Oasis Pavilion Nursing and Rehabilitation Center LLC-Otc
• Occupational & Urgent Care Healthcenters, LLC
• Elizabeth Ochoa, LPC
• Yesenia Esmeralda Ochoa, DNP, RN, APRN, FNP-C

• Skilled Nursing Facility in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.