Provider Demographics
NPI:1275330128
Name:OASIS HOUSE OF REFUGE LLC
Entity type:Organization
Organization Name:OASIS HOUSE OF REFUGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAKEEM
Authorized Official - Middle Name:A
Authorized Official - Last Name:BELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-712-9196
Mailing Address - Street 1:19810 GOVERNORS HWY
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-2042
Mailing Address - Country:US
Mailing Address - Phone:773-941-4838
Mailing Address - Fax:773-941-4324
Practice Address - Street 1:19810 GOVERNORS HWY
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-2042
Practice Address - Country:US
Practice Address - Phone:773-941-4838
Practice Address - Fax:773-941-4324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based