Oasis Home Health Care Agency Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OASIS HOME HEALTH CARE AGENCY INC.

Practice address

27225 Camp Plenty Rd Ste 7C
Santa Clarita, CA 91351-2654

Phone

(661) 481-3041

NPI assigned

Apr 17, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Miriam Polonskiy, LVN

Title

Vice President

Phone

(323) 449-2141

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757580

Legal name

OASIS HOME HEALTH CARE AGENCY INC

Doing business as

OASIS HOME HEALTH CARE AGENCY INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 29, 2023

Last certification

Jul 13, 2023

Organization structure

CorporationProprietary

Incorporated

May 4, 2017 in CA

Enrollment address

27225 Camp Plenty Rd
Ste 7C
Santa Clarita, CA 91351-2654

Listed as

Oasis Home Healthcare, IncCCN 757580 · All quality measures

Ownership

-

Certified

Aug 29, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Valery P Shulman, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • West Hollywood, CA
  • NPI 1871594648

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1215424064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27225 CAMP PLENTY RD STE 7C",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913512654",
            "telephone_number": "661-481-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27225 CAMP PLENTY RD STE 7C",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913512654",
            "telephone_number": "661-481-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS HOME HEALTH CARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "POLONSKIY",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "323-449-2141",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "server",
            "affiliation": "N",
            "endpointDescription": "computer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27225 Camp Plenty Rd Ste 7C",
            "city": "Santa Clarita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913512654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Providers in Santa Clarita, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.