Provider Demographics
NPI:1730394834
Name:OASIS CARE, INC.
Entity type:Organization
Organization Name:OASIS CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:408-347-3104
Mailing Address - Street 1:101 JOSE FIGUERES AVE
Mailing Address - Street 2:(FORMERLY P.O. BOX 2260, SANJOSE 95109)
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116
Mailing Address - Country:US
Mailing Address - Phone:408-347-3120
Mailing Address - Fax:408-347-3121
Practice Address - Street 1:101 JOSE FIGUERES AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116
Practice Address - Country:US
Practice Address - Phone:408-347-3120
Practice Address - Fax:408-347-3121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2022-07-21
Deactivation Date:2011-02-07
Deactivation Code:
Reactivation Date:2011-03-21
Provider Licenses
StateLicense IDTaxonomies
CA320800000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC2344925OtherCA CORP #
CA47711791OtherEDD #