Oasis in-Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

L000000003599 Issued in TN

Legal business name

OASIS IN-HOME CARE

Practice address

1989 Madison St
Suite 122
Clarksville, TN 37043-5067

Phone

(931) 266-4441

Fax

(931) 266-4443

NPI assigned

Dec 16, 2008

Last updated

Mar 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn Michelle Mullins, RN

Title

Owner/Administrator

Phone

(931) 266-4441

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1871738187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 MADISON ST",
            "address_2": "SUITE 122",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435067",
            "telephone_number": "931-266-4441",
            "fax_number": "931-266-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 MADISON ST",
            "address_2": "SUITE 122",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435067",
            "telephone_number": "931-266-4441",
            "fax_number": "931-266-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS IN-HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "931-266-4441",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000003599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445256",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Clarksville, TN
• Providers in Clarksville, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.