Ma'Rru Oasis

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MA'RRU OASIS

Practice address

11610 Summerfield CT
Fredericksburg, VA 22407-6040

Phone

(540) 903-8723

NPI assigned

Jan 23, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Jewel Lumaure Wigglesworth, CNA

Title

Owner

Phone

(540) 903-8723

Specialties & licenses 4

Addresses

Other identifiers 1

Tax ID family

Ma'Rru Oasis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Universal Companion Care Services

  • Contractor
  • Fredericksburg, VA
  • NPI 1780950022
  NPD tax ID

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1952848368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11610 SUMMERFIELD CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076040",
            "telephone_number": "540-903-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11610 SUMMERFIELD CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076040",
            "telephone_number": "540-903-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA'RRU OASIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "WIGGLESWORTH",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_middle_name": "LUMAURE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-903-8723",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223497601",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Lynn
• Tyra Lyons
• M. Ohn Maung, MD, P.C.
• Ma Kumba Place LLC
• Steven Jebum Ma, MD
• Clementine Rachel Maame Ouete, NP
• Ahmad Maarouf, MD
• Carlie Maat, MSW
• Jessica Macdonald, ATC
• Zohra Madad, DDS

• Mental Illness Community Based Residential Treatment Facility in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.