# BLUE OASIS HOME CARE AGENCY , LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861116170
- **Authorized official:** CHARONDA DENIECE SMITH (DIRECTOR)
- **Authorized official phone:** (762) 821-5618

## Contact information

- **Practice address:** 711 BRODERICK CIR, WARNER ROBINS, GA 31088-2415
- **Practice address phone:** (762) 821-5618
- **Mailing address:** 711 BRODERICK CIR, WARNER ROBINS, GA 31088-2415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | — | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 175T00000X | Peer Specialist | — | — | — |
| 247000000X | Health Information Technician | — | — | — |
| 251E00000X | Home Health Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | — | — |
| 372600000X | Adult Companion | — | — | — |
| 374U00000X | Home Health Aide | — | — | — |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 09/29/2022
- **Last updated:** 05/29/2026