Provider Demographics
NPI:1316514193
Name:RNJ OASIS HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:RNJ OASIS HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NARDGEIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACQUES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-539-3368
Mailing Address - Street 1:366 POWDER SPRINGS ST STE 212
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-3424
Mailing Address - Country:US
Mailing Address - Phone:678-539-3368
Mailing Address - Fax:912-590-0586
Practice Address - Street 1:366 POWDER SPRINGS ST STE 212
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-3424
Practice Address - Country:US
Practice Address - Phone:678-539-3368
Practice Address - Fax:912-590-0586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care