Organization Active NPI

Oasis of Life, LTD

  • Contractor
  • Annandale, VA
National Provider Identifier
1710399092
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
OASIS OF LIFE, LTD
Practice address
6920 Braddock Road B260
Annandale, VA 22003
Phone
(571) 274-6460
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
John Stephen Galvin
Title
Vice President
Phone
(571) 274-6460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

6920 Braddock Road B260
Annandale, VA 22003

Mailing address

6920 Braddock Road B260
Annandale, VA 22003
Phone (571) 274-6460

National Provider Directory

National Provider Directory

Locations

6920 Braddock Rd B260
Annandale, VA 22003
Phone (571) 274-6460

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1710399092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 BRADDOCK ROAD B260",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "571-274-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 BRADDOCK ROAD B260",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "571-274-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS OF LIFE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "GALVIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "571-274-6460"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.