Hidden Oasis, LLC

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

Legal business name

HIDDEN OASIS, LLC

Practice address

6081 N Dodge Dr
Prescott Valley, AZ 86314-1742

Phone

(928) 273-4442

NPI assigned

Sep 10, 2018

Last updated

Sep 10, 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

Karl Henderson

Title

Owner

Phone

(928) 273-4442

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1447733043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6081 N DODGE DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141742",
            "telephone_number": "928-273-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6081 N DODGE DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141742",
            "telephone_number": "928-273-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN OASIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-273-4442"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Inpatient Hospice in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Inpatient Hospice in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.