Oasis Clinical Care Management, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6005982 Issued in NC

Legal business name

OASIS CLINICAL CARE MANAGEMENT, LLC

Practice address

6101 Idlewild Rd
Suite 127
Charlotte, NC 28212-0517

Phone

(704) 536-8381

Fax

(704) 536-8383

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Lillian Roach

Title

Admin

Phone

(704) 536-8381

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1598907123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CHARLOTTE AVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102525",
            "telephone_number": "704-536-8381",
            "fax_number": "704-536-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 IDLEWILD RD",
            "address_2": "SUITE 127",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282120517",
            "telephone_number": "704-536-8381",
            "fax_number": "704-536-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS CLINICAL CARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "704-536-8381",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "6005982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302530B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302530H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302530G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Oakes
• Oakhurst Brothers LLC
• Oakhurst Health Investers Inc.
• Rachael Marie Oakley, PA
• Oakwood Care Services
• Oasis Clinical Care Manager, LLC
• Oasis Counseling Service
• Oasis Healthcare
• Oasis Healthcare and Therapeutic Services
• Oasis Healthcare and Therapeutic Services, LLC

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.