Oxyatlantic Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OXYATLANTIC HOSPICE, LLC

Practice address

4001 Sul Ross St Apt 261
San Angelo, TX 76904-6636

Phone

(432) 924-7027

NPI assigned

Jul 27, 2020

Organization subpart

No

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

Authorized official

Name

Gbolabo Ajayi

Title

Administrator

Phone

(432) 924-7027

Specialties & licenses 1

Addresses

Other names 1

• Oxyatlantic Hospice, LLC Doing business as

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1841809803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 SUL ROSS ST APT 261",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046636",
            "telephone_number": "432-924-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 SUL ROSS ST APT 261",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046636",
            "telephone_number": "432-924-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXYATLANTIC HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "GBOLABO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "432-924-7027"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxyatlantic Hospice, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Renee Owen, NP-C
• Brenda D Owens, MD
• Jean Ann Owens, PT
• Kathryn Averie Owens
• Shauna S Owens, PT
• Christopher Padilla, PA-C
• Jam Tipton Page, BCBA
• Paint Rock Isd
• Amin Parhizgar, M.D.
• Park Plaza LTC Partners, Inc.

• Community Based Hospice Care Agency in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.