Provider Demographics
NPI:1215424064
Name:OASIS HOME HEALTH CARE AGENCY INC.
Entity type:Organization
Organization Name:OASIS HOME HEALTH CARE AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:POLONSKIY
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:323-449-2141
Mailing Address - Street 1:27225 CAMP PLENTY RD STE 7C
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91351-2654
Mailing Address - Country:US
Mailing Address - Phone:661-481-3041
Mailing Address - Fax:
Practice Address - Street 1:27225 CAMP PLENTY RD STE 7C
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91351-2654
Practice Address - Country:US
Practice Address - Phone:661-481-3041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health