Osl WR Operating LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OSL WR OPERATING LLC

Practice address

830 High St
Wild Rose, WI 54984-6829

Phone

(920) 622-4141

Fax

(920) 622-3877

NPI assigned

Jul 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jamie Hagen, LPN

Title

Director of Operations

Phone

(414) 324-5172

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1053149807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 S 102ND ST STE 305",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272141",
            "telephone_number": "414-214-8950",
            "fax_number": "414-755-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 HIGH ST",
            "city": "WILD ROSE",
            "state": "WI",
            "postal_code": "549846829",
            "telephone_number": "920-622-4141",
            "fax_number": "920-622-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSL WR OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "414-324-5172",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Kay Mueller, OTR
• Lori J Paczkowski, COTA
• Susan Melissa Piechowski, APNP
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• Tina Marie Rich, RN
• Lynn Annette Ringenoldus, APNP

• Assisted Living Facility in Wild Rose, WI
• Providers in Wild Rose, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.