Organization Active NPI

Oasis Healthcare and Therapeutic Services, LLC

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1962705392
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4362 Issued in NC
Legal business name
OASIS HEALTHCARE AND THERAPEUTIC SERVICES, LLC
Practice address
1101 Tyvola Rd
Suite 301
Charlotte, NC 28217-3515
Phone
(704) 213-6225
Fax
(704) 216-1406
NPI assigned
Dec 7, 2010
Last updated
May 8, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
OASIS HEALTHCARE AND THERAPEUTIC SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Authorized official

Name
Ms. Trina McCoy
Title
Owner
Phone
(704) 213-6225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4362 NC Primary

Addresses

Primary practice location

1101 Tyvola Rd
Suite 301
Charlotte, NC 28217-3515

Mailing address

1101 Tyvola Rd
Suite 301
Charlotte, NC 28217-3515
Phone (704) 213-6225

Other identifiers 1

IdentifierTypeStateIssuer
3418738MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Oasis Healthcare and Therapeutic Services LLC2 organizations share this tax ID, including this one
Part of
Oasis Healthcare and Therapeutic Services LLC

Other organizations with this tax ID 1

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

Locations

1101 Tyvola Rd
Ste 301
Charlotte, NC 28217
Phone (704) 213-6225

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1962705392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 TYVOLA RD",
            "address_2": "SUITE 301",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173515",
            "telephone_number": "704-213-6225",
            "fax_number": "704-216-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TYVOLA RD",
            "address_2": "SUITE 301",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173515",
            "telephone_number": "704-213-6225",
            "fax_number": "704-216-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS HEALTHCARE AND THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OASIS HEALTHCARE AND THERAPEUTIC SERVICES, LLC",
        "enumeration_date": "2010-12-07",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-213-6225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418738",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.