Oasis Healthcare, Inc.
Organization Active NPI Community Based Hospice Care Agency · Birmingham, AL
NPI 1366499865 · NPPES record last updated Aug 6, 2026
Key facts
- NPI
- 1366499865
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- OASIS HEALTHCARE, INC.
- Practice address
- 3522 Vann Rd Ste 104
Birmingham, AL 35235-3218 - Phone
- (205) 640-3303
- Fax
- (205) 640-3331
- NPI assigned
- May 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Jay Koeper
- Title
- President
- Phone
- (970) 828-2210
Corporate family (same tax ID) 1
Member of 1
Facilities with the same owner 151
Affiliated clinicians 3
-
Mohannad Fadl Azzam, M.D.
-
Scott R Fulgham, M.D.
Medicare Care Compare: Hospice
- Listed as
- Oasis Healthcare - Moody
- Ownership
- For-Profit
- Certified
- Jun 29, 2007
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2111159 | Oasis Healthcare Inc | Certificate of waiver | Mar 30, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Hospice certification: CCN 011660
- Legal name
- OASIS HEALTHCARE, INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 29, 2007
- Last certification
- Nov 2, 2018
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Feb 20, 2003 in DE
- Enrollment address
- 3522 Vann Rd
Ste 104
Birmingham, AL 35235-3218
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin McDaniel |
Corporate Officer |
Dec 3, 2021 | |
| Corporate Director |
Dec 3, 2021 | ||
| Jennifer Phipps |
Corporate Officer |
Jul 22, 2022 | |
| Walgreen Co |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 29% |
| Silverton Abode Holding Corporation |
5% Or Greater Indirect Ownership Interest | Aug 28, 2019 | 100% |
| Margaret Sherry Pemberton |
Corporate Officer |
Dec 3, 2021 | |
| Corporate Director |
Dec 3, 2021 | ||
| Brightspring Health Holdings Corp |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Silverton Intermediate Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Aug 28, 2019 | 100% |
| Phoenix Guarantor Inc. |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Res-Care Inc |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Silverton Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Aug 28, 2019 | 100% |
| Phoenix Intermediate Holdings Inc. |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Abode Healthcare, Inc. |
5% Or Greater Direct Ownership Interest | Mar 8, 2016 | 100% |
| Walgreens Holding Company |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 29% |
| Brightspring Health Services Inc |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| KKR Phoenix Aggregator L.P. |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 68% |
| KKR Americas Fund XII LP |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 60% |
| Michael a McMaude |
Corporate Officer |
Mar 8, 2016 | |
| Corporate Director |
Mar 8, 2016 | ||
| Silverton Abode, LLC |
5% Or Greater Indirect Ownership Interest | Aug 28, 2019 | 100% |
| Clancie Quattlebaum |
W-2 Managing Employee | Dec 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060630000152 | AL | Part a Provider - Hospice | 7618887514 | Practice locations: Birmingham, AL; Tuscaloosa, AL |
National Provider Directory
- Tax ID family
- Oasis Healthcare Inc
Locations
2005 Agape Cir
Ste E
Moody, AL 35004
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
3522 Vann Rd Ste 104
Birmingham, AL 35235-3218
Mailing address
3522 Vann Rd Ste 104
Birmingham, AL 35235-3218
Phone (205) 640-3303
Other names
- Adoration Hospice
Other providers in Birmingham, AL
- Walter J Oakes
- Ingrid Deanette Oakley
- Edith Cursey Oaks Sitzler
- Ann Burkhalter Oaks
- Oasis Family Birthing Center, LLC
- Oasis Women'S Counseling Center
- Oasis Womens Health LLC
- Oasis: a Women'S Counseling Center
- OB-GYN Associates of Alabama P C
- Stephen Obaro
All providers in Birmingham, AL · Community Based Hospice Care Agency in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.