Active NPI
Oasis Care Services LLC
- Adult Care Home Facility
- Grand Rapids, MI
National Provider Identifier
1942740931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- AS410321061
- Legal business name
- OASIS CARE SERVICES LLC
- Practice address
- 3749 Ivy Dr NE
Grand Rapids, MI 49525-2421 - Phone
- (616) 550-3982
- NPI assigned
- Feb 24, 2017
- 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
- Jason Muriithi
- Title
- Administrator
- Phone
- (616) 550-3982
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | AS410321061 | MI | Primary |
Addresses
Primary practice location
3749 Ivy Dr NE
Grand Rapids, MI 49525-2421
Mailing address
920 Pembroke St SE
Kentwood, MI 49508-6016
Phone (616) 550-3982
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487894400000",
"number": "1942740931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 PEMBROKE ST SE",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495086016",
"telephone_number": "616-550-3982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3749 IVY DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495252421",
"telephone_number": "616-550-3982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OASIS CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-24",
"last_updated": "2017-02-24",
"status": "A",
"authorized_official_last_name": "MURIITHI",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "616-550-3982"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "MI",
"license": "AS410321061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.