Active NPI
Blue Oasis Home Care Agency , LLC
- In Home Supportive Care Agency
- Warner Robins, GA
National Provider Identifier
1861116170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- BLUE OASIS HOME CARE AGENCY , LLC
- Practice address
- 711 Broderick Cir
Warner Robins, GA 31088-2415 - Phone
- (762) 821-5618
- NPI assigned
- Sep 29, 2022
- 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
- Charonda Deniece Smith
- Title
- Director
- Phone
- (762) 821-5618
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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Health & Wellness Coach | 171400000X | |||
| Peer Specialist | 175T00000X | |||
| Health Information Technician | 247000000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
711 Broderick Cir
Warner Robins, GA 31088-2415
Mailing address
711 Broderick Cir
Warner Robins, GA 31088-2415
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780012800000",
"number": "1861116170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 BRODERICK CIR",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310882415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 BRODERICK CIR",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310882415",
"telephone_number": "762-821-5618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE OASIS HOME CARE AGENCY , LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-29",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CHARONDA",
"authorized_official_middle_name": "DENIECE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "762-821-5618"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "247000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Health Information",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.