NPIMap

Organization Active NPI

Oasis Pavilion Nursing and Rehabilitation Center LLC-Otc

  • Skilled Nursing Facility
  • Casa Grande, AZ
National Provider Identifier
1275901175
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCI-2692 Issued in AZ
Legal business name
OASIS PAVILION NURSING AND REHABILITATION CENTER LLC-OTC
Practice address
161 W Rodeo Rd
Casa Grande, AZ 85122-6201
Phone
(520) 836-1772
Fax
(520) 421-4966
NPI assigned
Sep 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Mr. Kenneth U Opara
Title
Administrator
Phone
(520) 836-1772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCI-2692 AZ Primary

Addresses

Primary practice location

161 W Rodeo Rd
Casa Grande, AZ 85122-6201

Mailing address

161 W Rodeo Rd
Casa Grande, AZ 85122-6201
Phone (520) 836-1772

National Provider Directory

National Provider Directory
Tax ID family
Oasis Pavilion Nursing and Rehab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1275901175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 W RODEO RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226201",
            "telephone_number": "520-836-1772",
            "fax_number": "520-421-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W RODEO RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226201",
            "telephone_number": "520-836-1772",
            "fax_number": "520-421-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS PAVILION NURSING AND REHABILITATION CENTER LLC-OTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "OPARA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-836-1772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-2692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.