Provider Demographics
NPI:1902612526
Name:BLESSED OASIS HOMECARE LLC
Entity type:Organization
Organization Name:BLESSED OASIS HOMECARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:ELSY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBRAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-263-4911
Mailing Address - Street 1:722 E MARKET ST STE 102
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-4475
Mailing Address - Country:US
Mailing Address - Phone:571-325-8772
Mailing Address - Fax:
Practice Address - Street 1:722 E MARKET ST STE 102
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-4475
Practice Address - Country:US
Practice Address - Phone:571-325-8772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty