OASIS ASSISTED LIVING CENTER NPI 1205013356

NPI Information

NPI: 1205013356
Provider Name: OASIS ASSISTED LIVING CENTER
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 03D1064194

Address:
2721 N ORACLE RD
TUCSON, AZ
ZIP 85705
Phone: (520) 624-1771
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OASIS ASSISTED LIVING CENTER is an assisted living facility in Tucson, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. OASIS ASSISTED LIVING CENTER NPI is 1205013356. The provider is registered as an organization entity type.

The provider's business location address is:

2721 N ORACLE RD
TUCSON, AZ
ZIP 85705-315
Phone: (520) 624-1771
Fax: (520) 629-1902

The provider's authorized official is Tad Denton .
The authorized official title is Owner and has the following contact phone number (520) 624-1771.

The CLIA number assigned to this NPI record is 03D1064194 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2008 and was last updated on 1/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	ALC-5167	ARIZONA	No
2	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	ALC-5167	ARIZONA	No
3	310400000X	Assisted Living Facility		ALC-5167	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	938392	OTHER	ARIZONA	AHCCCS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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