Organization Active NPI

Oasis Homecare and Staffing Agency LLC

  • Home Health Agency
  • Golden Valley, MN
National Provider Identifier
1205765823
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.