Organization Active NPI

Connection Bridge Oasis, Inc.

  • Home Health Aide
  • Stone Mountain, GA
National Provider Identifier
1790621712
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
CONNECTION BRIDGE OASIS, INC.
Practice address
5370 Whitney CT
Stone Mountain, GA 30088-3249
Phone
(470) 886-9074
NPI assigned
Apr 24, 2026
Last updated
Apr 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Andrea Loretta Dacosta RobinsonNPI 1376485664
Title
Director
Phone
(470) 886-9074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

5370 Whitney CT
Stone Mountain, GA 30088-3249

Mailing address

5370 Whitney CT
Stone Mountain, GA 30088-3249
Phone (470) 886-9074

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1790621712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 WHITNEY CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883249",
            "telephone_number": "470-886-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 WHITNEY CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883249",
            "telephone_number": "470-886-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTION BRIDGE OASIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "DACOSTA ROBINSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LORETTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "470-886-9074"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.