Organization Active NPI

Southern Oasis Living LLC

  • Home Health Agency
  • St Petersburg, FL
National Provider Identifier
1538640685
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTHERN OASIS LIVING LLC
Practice address
2527 10TH Ave S
Saint Petersburg, FL 33712-2021
Phone
(727) 743-7463
Fax
(727) 898-5850
NPI assigned
Aug 27, 2018
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Lillian Baker
Title
Ceo
Phone
(727) 743-7463

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X PN5151587 FL
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

2527 10TH Ave S
Saint Petersburg, FL 33712-2021

Mailing address

2527 10TH Ave S
Saint Petersburg, FL 33712-2021
Phone (727) 743-7463

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1538640685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 10TH AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337122021",
            "telephone_number": "727-743-7463",
            "fax_number": "727-898-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 10TH AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337122021",
            "telephone_number": "727-743-7463",
            "fax_number": "727-898-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OASIS LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-743-7463"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5151587",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.