Oasis Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

120231 Issued in TX

Legal business name

OASIS VILLAGE

Practice address

2740 Avenue K
Fort Worth, TX 76105-3001

Phone

(817) 535-3388

Fax

(817) 534-8833

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Bertha McCoy

Title

President Owner

Phone

(817) 535-3388

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083816748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 AVENUE K",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761053001",
            "telephone_number": "817-535-3388",
            "fax_number": "817-534-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 AVENUE K",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761053001",
            "telephone_number": "817-535-3388",
            "fax_number": "817-534-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "817-535-3388",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "120231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAE LICENSE",
            "identifier": "120231",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie R Oaks, MS, LPC
• Oakwell Texas Physicians PLLC
• Oakwood Medical Services PLLC
• Oakwood Medical Services, PLLC
• Oasis of Hope Care Home LLC
• Oasis Wellness Assisted Living Center
• Oluwaseyi Obanoyen
• Olubukola Obayanju
• Kayla Colvill Obeid, MD
• Akosua Serwaa Obeng, REGISTERED NURSE

• Assisted Living Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.