Oasis 1St Care Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OASIS 1ST CARE HOSPICE

Doing business as

Oasis 1st Care Hospice

Practice address

8309 Office Park Dr
Douglasville, GA 30134-6935

Phone

(678) 401-6856

Fax

(678) 623-3307

NPI assigned

Mar 12, 2020

Last updated

Feb 18, 2023By 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

Zebulon Foreman, NPNPI 1962938373

Title

Owner

Phone

(678) 401-6856

Specialties & licenses 1

Addresses

Other names 1

• Oasis 1st Care Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104452986. Details of each certification follow.

• CCN 851585 Hospice · Active · Details

Hospice certification: CCN 851585

Legal name

OASIS 1ST CARE HOSPICE

Doing business as

OASIS 1ST CARE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 26, 2023

Last certification

Sep 26, 2023

Organization structure

CorporationProprietary

Enrollment address

8309 Office Park Dr
Ste a
Douglasville, GA 30134-6935

Listed as

Oasis 1St Care HospiceCCN 851585 · All quality measures

Certified

Sep 26, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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.

• Zebulon Foreman, NP

  • Family Nurse Practitioner
  • Douglasville, GA
  • NPI 1962938373

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Jean Joseph Philippe-Dambreville, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1639177066

  Contracted Managing Employee

  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.

• Zebulon Foreman, NP

  • Family Nurse Practitioner
  • Douglasville, GA
  • NPI 1962938373
  Authorized official Same address or phone

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676678400000",
    "number": "1104452986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 OFFICE PARK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346935",
            "telephone_number": "678-401-6856",
            "fax_number": "678-623-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8309 OFFICE PARK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346935",
            "telephone_number": "678-401-6856",
            "fax_number": "678-623-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS 1ST CARE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "ZEBULON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-401-6856",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis 1st Care Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oasis 1st Care Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chika Ikenna Nwachukwu
• Casmir Uzoma Nwigwe, M.D
• Ruth Nyasimi, PMHNP-BC
• Leah Jones O'Brien, PT, MPT
• Sharon A O'Bryant, WHNP
• Oasis Primary Care Clinic
• Kolade Kehinde Obajuluwa, M.D.
• Mark Lapitan Obana, PT, DPT
• Naa Y Oden, BCBA, NCSP
• Oluwaseun Odewole, MD,MPH

• Community Based Hospice Care Agency in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; 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.