Active NPI
Oasis Wellness Center of Florida, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hialeah, FL
National Provider Identifier
1770060493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- OASIS WELLNESS CENTER OF FLORIDA, LLC
- Practice address
- 4410 W 16TH Ave Ste 59
Hialeah, FL 33012-7194 - Phone
- (305) 824-8559
- Fax
- (305) 824-8561
- NPI assigned
- Jul 25, 2018
- Last updated
- Jul 25, 2018
- 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. Yelena Inguanzo, LMHC
- Title
- Manager
- Phone
- (305) 613-5125
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
4410 W 16TH Ave Ste 59
Hialeah, FL 33012-7194
Mailing address
4410 W 16TH Ave Ste 59
Hialeah, FL 33012-7194
Phone (305) 824-8559
National Provider Directory
National Provider DirectoryLocations
4410 W 16th Ave
Ste 59
Hialeah, FL 33012
Phone (305) 824-8559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532476800000",
"number": "1770060493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 W 16TH AVE STE 59",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127194",
"telephone_number": "305-824-8559",
"fax_number": "305-824-8561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 W 16TH AVE STE 59",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127194",
"telephone_number": "305-824-8559",
"fax_number": "305-824-8561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OASIS WELLNESS CENTER OF FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-25",
"last_updated": "2018-07-25",
"status": "A",
"authorized_official_last_name": "INGUANZO",
"authorized_official_first_name": "YELENA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "305-613-5125",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.