NPIMap

Organization Active NPI

Empowering Oasis Wellness Group, LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1295503928
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
EMPOWERING OASIS WELLNESS GROUP, LLC
Practice address
924 E Biddle St
Baltimore, MD 21202-5639
Phone
(443) 219-8400
NPI assigned
Dec 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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

Authorized official

Name
De'Nolla Laster, MBA
Title
Ceo/Owner
Phone
(443) 925-8603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

924 E Biddle St
Baltimore, MD 21202-5639

Mailing address

2724 E Monument St
Baltimore, MD 21205-2645
Phone (443) 219-8400

Other names 1

  • Empowering Oasis Wellness Group Other name

National Provider Directory

National Provider Directory
Tax ID family
Empowering Oasis Wellness Group3 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": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737244800000",
    "number": "1295503928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 E MONUMENT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052645",
            "telephone_number": "443-219-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 E BIDDLE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025639",
            "telephone_number": "443-219-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING OASIS WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A",
        "authorized_official_last_name": "LASTER",
        "authorized_official_first_name": "DE'NOLLA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "443-925-8603",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empowering Oasis Wellness Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2025; 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.