Active NPI
Oasis Homecare and Staffing Agency LLC
- Home Health Agency
- Golden Valley, MN
National Provider Identifier
1205765823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- OASIS HOMECARE AND STAFFING AGENCY LLC
- Practice address
- 1710 Douglas Dr N Ste 226N
Golden Valley, MN 55422-4369 - Phone
- (612) 987-0813
- NPI assigned
- May 18, 2026
- Last updated
- Jul 14, 2026
- 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
- Komla Ayena, MD
- Title
- Manager
- Phone
- (612) 987-0813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1710 Douglas Dr N Ste 226N
Golden Valley, MN 55422-4369
Mailing address
1710 Douglas Dr N Ste 226N
Golden Valley, MN 55422-4369
Phone (612) 987-0813
National Provider Directory
National Provider DirectoryLocations
1710 Douglas Dr N
Ste 226N
Golden Valley, MN 55422
Phone (612) 987-0813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1205765823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 DOUGLAS DR N STE 226N",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224369",
"telephone_number": "612-987-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 DOUGLAS DR N STE 226N",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224369",
"telephone_number": "612-987-0813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OASIS HOMECARE AND STAFFING AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-18",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "AYENA",
"authorized_official_first_name": "KOMLA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "612-987-0813",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
- Ryan Wallace Nyberg, P.T.
- Anya Doireann O'Connor, MA, LPCC
- John Patrick O'Neill, M.D.
- Oakdale Ear, Nose & Throat Clinic, P.a. (Minnesota ENT)
- Oaktree Medical Supplies LLC
- Adenike Oyebisi Obisesan
- Mohamed Hussein Odawa
- William B Ogden, MD
- Iyinola Joel Ogunleye, RN, CNP
- Jeffrey Tatsuo Oishi, M.A. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.