Active NPI
The Oasis of Love, Inc.
- Community/Behavioral Health Agency
- Stroudsburg, PA
National Provider Identifier
1891849113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2012
- 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
- Mr. Frank Medero
- Title
- Vice President
- Phone
- (570) 972-0838
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020311430001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.