Provider Demographics
NPI:1871738187
Name:OASIS IN-HOME CARE
Entity type:Organization
Organization Name:OASIS IN-HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:931-266-4441
Mailing Address - Street 1:1989 MADISON ST
Mailing Address - Street 2:SUITE 122
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-5067
Mailing Address - Country:US
Mailing Address - Phone:931-266-4441
Mailing Address - Fax:931-266-4443
Practice Address - Street 1:1989 MADISON ST
Practice Address - Street 2:SUITE 122
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-5067
Practice Address - Country:US
Practice Address - Phone:931-266-4441
Practice Address - Fax:931-266-4443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000003599253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH445256Medicaid