Provider Type Icon

BLUE OASIS HOME CARE AGENCY LLC NPI 1861116170


NPI Information

NPI: 1861116170
Provider Name: BLUE OASIS HOME CARE AGENCY , LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 11D2270870

Address:
711 BRODERICK CIR
WARNER ROBINS, GA
ZIP 31088
Phone: (762) 821-5618
Get Directions

BLUE OASIS HOME CARE AGENCY , LLC is an in home supportive care in Warner Robins, GA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. BLUE OASIS HOME CARE AGENCY , LLC NPI is 1861116170. The provider is registered as an organization entity type.

The provider's business location address is:

711 BRODERICK CIR
WARNER ROBINS, GA
ZIP 31088-415
Phone: (762) 821-5618

The provider's authorized official is Charonda Deniece Smith .
The authorized official title is Director and has the following contact phone number (762) 821-5618.

The CLIA number assigned to this NPI record is 11D2270870 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2022 and was last updated on 9/29/2022.


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
1251E00000XHome HealthNo
2251J00000XNursing CareNo
3343900000XNon-emergency Medical Transport (VAN)No
4372600000XAdult CompanionNo
5374U00000XHome Health AideNo
6385H00000XRespite CareNo
7253Z00000XIn Home Supportive CareYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.