Active NPI
Oasis Management Master Inc
- Assisted Living Facility (Mental Illness)
- Daytona Beach, FL
National Provider Identifier
1134591258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Charlene Theresa Hartley
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Community Health Worker
- Holly Hill, FL
- NPI 1649695974
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.