Organization Active NPI

Oasis Wellness Center of Florida, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hialeah, FL
National Provider Identifier
1770060493
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.