Organization
OASIS MENTAL HEALTH CENTER LLC
Active
Other names
Oasis Medcare
Organization subpart
No
Provider details
NPI number
Authorized official
DEIVY CALVO HERNANDEZ (CEO)
(786) 418-9790
Entity
Organization
Contact information
Practice address
5901 NW 183RD ST STE 264, HIALEAH, FL 33015-6026
(786) 418-9790
(786) 358-6063
Mailing address
5901 NW 183RD ST STE 264, HIALEAH, FL 33015-6026
(786) 418-9790
(786) 358-6063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104765400
—
FL
05
—
107090600
—
FL
05
—
116693800
—
FL
Enumeration date
11/11/2019
Last updated
09/02/2025
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