Active NPI
Saharan Oasis, LLC
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1720758113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- SAHARAN OASIS, LLC
- Practice address
- 1705 S 64TH Ave
Phoenix, AZ 85043-5745 - Phone
- (202) 294-5559
- Fax
- (623) 455-5856
- NPI assigned
- Sep 16, 2021
- 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
- Mrs. Rachel Selina Bowie
- Title
- Co-Owner
- Phone
- (202) 294-5559
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Primary |
Addresses
Primary practice location
1705 S 64TH Ave
Phoenix, AZ 85043-5745
Mailing address
1705 S 64TH Ave
Phoenix, AZ 85043-5745
Phone (202) 294-5559
National Provider Directory
National Provider Directory- Tax ID family
- Saharan Oasis LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Phoenix, AZ
- NPI 1740902501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631750400000",
"number": "1720758113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 S 64TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850435745",
"telephone_number": "202-294-5559",
"fax_number": "623-455-5856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 S 64TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850435745",
"telephone_number": "202-294-5559",
"fax_number": "623-455-5856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAHARAN OASIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-16",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A",
"authorized_official_last_name": "BOWIE",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "SELINA",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "202-294-5559",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.