Provider Demographics
NPI:1992115265
Name:OASIS HAVEN HOSPICE, INC.
Entity type:Organization
Organization Name:OASIS HAVEN HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OFELIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANGELES
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:949-290-6907
Mailing Address - Street 1:8 CORPORATE PARK
Mailing Address - Street 2:SUITE 300
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-5144
Mailing Address - Country:US
Mailing Address - Phone:949-290-6907
Mailing Address - Fax:
Practice Address - Street 1:8 CORPORATE PARK
Practice Address - Street 2:SUITE 300
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-5144
Practice Address - Country:US
Practice Address - Phone:949-290-6907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based