NPIMap

Organization Active NPI

Oasis Care Living, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1821298894
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
BH2933 Issued in AZ
Legal business name
OASIS CARE LIVING, LLC
Practice address
6917 S 11TH Dr
Phoenix, AZ 85041-6743
Phone
(602) 334-1303
Fax
(602) 535-5109
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Mr. Lester L Knox Jr.
Title
Ceo/Administrator
Phone
(602) 510-8007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X BH2933 AZ Primary

Addresses

Primary practice location

6917 S 11TH Dr
Phoenix, AZ 85041-6743

Mailing address

6917 S 11TH Dr
Phoenix, AZ 85041-6743
Phone (602) 334-1303

National Provider Directory

National Provider Directory
Tax ID family
Oasis Care Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1821298894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 S 11TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416743",
            "telephone_number": "602-334-1303",
            "fax_number": "602-535-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 S 11TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416743",
            "telephone_number": "602-334-1303",
            "fax_number": "602-535-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS CARE LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "602-510-8007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH2933",
            "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 Jul 19, 2007; 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.