Active NPI
Southern Oasis Living LLC
- Home Health Agency
- St Petersburg, FL
National Provider Identifier
1538640685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 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 DirectoryPractitioners & 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.
-
- In Home Supportive Care Agency
- St Petersburg, FL
- NPI 1124682182
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
- Southeast Eye Institute, PA (Opti-mart)
- Southeast Eye Institute, PA (Eye Associates of Pinellas)
- Southern Home Care Services, Inc.
- Southern Home Health Care, Inc.
- Southern Oasis Homecare LLC
- Sovereign Healthcare of Pinellas Point, LLC (Pinellas Point Nursing & Rehab Center)
- Sydnie Dietz Soyka, NP
- Danielle Spaeder
- Samantha Chase Spagna, PSY.D.
- Linda S. Spalding, M.ED.
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.