Organization Active NPI

The Oasis of Love, Inc.

  • Community/Behavioral Health Agency
  • Stroudsburg, PA
National Provider Identifier
1891849113
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE OASIS OF LOVE, INC.
Practice address
814 Monroe St
Stroudsburg, PA 18360-1744
Phone
(570) 972-0838
NPI assigned
Jan 23, 2007
Last updated
Apr 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Authorized official

Name
Mr. Frank Medero
Title
Vice President
Phone
(570) 972-0838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

814 Monroe St
Stroudsburg, PA 18360-1744

Mailing address

PO Box 268
Analomink, PA 18320-0268

Other identifiers 1

IdentifierTypeStateIssuer
1020311430001MedicaidPA

National Provider Directory

National Provider Directory

Locations

814 Monroe St
Stroudsburg, PA 18360
Phone (570) 656-4047

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1891849113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "ANALOMINK",
            "state": "PA",
            "postal_code": "183200268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 MONROE ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601744",
            "telephone_number": "570-972-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OASIS OF LOVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "MEDERO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "570-972-0838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020311430001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.