Active NPI
Welink Group LLC
Doing business as Oasis Home Behavioral Health
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1659006070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- WELINK GROUP LLC
- Doing business as
- Oasis Home Behavioral Health
- Practice address
- 1612 W Carmen St
Phoenix, AZ 85041-3778 - Phone
- (773) 892-5454
- NPI assigned
- Jul 20, 2022
- 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
- Hodal Bizimungu
- Title
- Administrator
- Phone
- (773) 892-5454
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
1612 W Carmen St
Phoenix, AZ 85041-3778
Mailing address
1612 W Carmen St
Phoenix, AZ 85041-3778
Phone (773) 892-5454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH7777 | Medicaid | AZ |
Other names 1
- OASIS HOME BEHAVIORAL HEALTH
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@welink.co | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658275200000",
"number": "1659006070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 W CARMEN ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850413778",
"telephone_number": "773-892-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 W CARMEN ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850413778",
"telephone_number": "773-892-5454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELINK GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-20",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A",
"authorized_official_last_name": "BIZIMUNGU",
"authorized_official_first_name": "HODAL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "773-892-5454"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BH7777",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@welink.co",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1612 W Carmen St",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850413778",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "OASIS HOME BEHAVIORAL HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.