Oasis Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC4362 Issued in NC

Legal business name

OASIS HEALTHCARE

Practice address

1101 Tyvola Rd
Charlotte, NC 28217-3515

Phone

(704) 213-6225

Fax

(704) 216-1406

NPI assigned

Jun 19, 2015

Last updated

Mar 17, 2018By 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

Trina Antoinette Fonville

Title

Director

Phone

(704) 213-6225

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1285016824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 TYVOLA RD STE 301",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173515",
            "telephone_number": "704-213-6225",
            "fax_number": "704-216-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TYVOLA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173515",
            "telephone_number": "704-213-6225",
            "fax_number": "704-216-1406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Greenwich Rd",
            "address_2": "Suite 211",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282112355",
            "country_code": "US",
            "telephone_number": "704-789-3105",
            "fax_number": "704-216-1406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OASIS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "FONVILLE",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "ANTOINETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-213-6225"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4362",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285016824",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Marie Oakley, PA
• Oakwood Care Services
• Oasis Clinical Care Management, LLC
• Oasis Clinical Care Manager, LLC
• Oasis Counseling Service
• Oasis Healthcare and Therapeutic Services
• Oasis Healthcare and Therapeutic Services, LLC
• Molly Oaten, WHNP-BC
• Laura Oates Pryor
• David F. Oates, PH.D.

• Home Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.