Organization Active NPI

Oasis Home Care LLC

  • Personal Care Attendant
  • Owatonna, MN
National Provider Identifier
1578100848
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
OASIS HOME CARE LLC
Practice address
120 W Broadway St Ste 108
Owatonna, MN 55060-2302
Phone
(507) 291-4204
Fax
(507) 299-9479
NPI assigned
Dec 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Mohamed OmarNPI 1629697933
Title
Owner
Phone
(507) 291-4204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

120 W Broadway St Ste 108
Owatonna, MN 55060-2302

Mailing address

120 W Broadway St Ste 108
Owatonna, MN 55060-2302
Phone (507) 291-4204

National Provider Directory

National Provider Directory

Locations

120 W Broadway St
Ste 108
Owatonna, MN 55060
Phone (507) 291-4204

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1578100848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W BROADWAY ST STE 108",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602302",
            "telephone_number": "507-291-4204",
            "fax_number": "507-299-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W BROADWAY ST STE 108",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602302",
            "telephone_number": "507-291-4204",
            "fax_number": "507-299-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-291-4204"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.