Organization Active NPI

Oasis Management Master Inc

  • Assisted Living Facility (Mental Illness)
  • Daytona Beach, FL
National Provider Identifier
1134591258
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
OASIS MANAGEMENT MASTER INC
Practice address
528 N Halifax Ave
Daytona Beach, FL 32118-4018
Phone
(386) 334-4444
Fax
(386) 238-5678
NPI assigned
Oct 28, 2015
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Ms. Charlene Theresa HartleyNPI 1649695974
Title
Administrator Owner
Phone
(386) 334-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

528 N Halifax Ave
Daytona Beach, FL 32118-4018

Mailing address

1 Goodall Ave
Daytona Beach, FL 32118-4617
Phone (386) 334-4444

National Provider Directory

National Provider Directory

Locations

528 N Halifax Ave
Daytona Beach, FL 32118
Phone (386) 334-4444

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1134591258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GOODALL AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184617",
            "telephone_number": "386-334-4444",
            "fax_number": "386-238-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 N HALIFAX AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184018",
            "telephone_number": "386-334-4444",
            "fax_number": "386-238-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS MANAGEMENT MASTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "386-334-4444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.