An Oasis Wellness

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

4686 Issued in NV

Legal business name

AN OASIS WELLNESS

Practice address

9636 Bending River Ave
Las Vegas, NV 89129-6939

Phone

(702) 672-2787

Fax

(702) 462-5816

NPI assigned

Apr 17, 2015

Last updated

Apr 17, 2015By 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

Kelly Smallwood-Horniacek, MMT, LMT,HP

Title

Owner

Phone

(702) 672-2787

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1215324173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9636 BENDING RIVER AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296939",
            "telephone_number": "702-672-2787",
            "fax_number": "702-462-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9636 BENDING RIVER AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296939",
            "telephone_number": "702-672-2787",
            "fax_number": "702-462-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN OASIS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "SMALLWOOD-HORNIACEK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-672-2787",
        "authorized_official_credential": "MMT, LMT,HP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "4686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.