Provider Demographics
NPI:1861192270
Name:BLUE OASIS INC
Entity type:Organization
Organization Name:BLUE OASIS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:531-375-1663
Mailing Address - Street 1:1913 MILITARY AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-3932
Mailing Address - Country:US
Mailing Address - Phone:531-375-1663
Mailing Address - Fax:402-500-3691
Practice Address - Street 1:1913 MILITARY AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-3932
Practice Address - Country:US
Practice Address - Phone:531-375-1663
Practice Address - Fax:402-500-3691
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLUE OASIS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care