Osl SP Operating LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OSL SP OPERATING LLC

Practice address

2201 Eagle SMT
Stevens Point, WI 54482-8977

Phone

(715) 343-8825

Fax

(715) 343-2995

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": "1093543829",
    "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": "2201 EAGLE SMT",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828977",
            "telephone_number": "715-343-8825",
            "fax_number": "715-343-2995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Eagle Smt",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544828942",
            "country_code": "US",
            "telephone_number": "715-343-8820",
            "fax_number": "715-341-1373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 Eagle Smt",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544828977",
            "country_code": "US",
            "telephone_number": "715-343-1288",
            "fax_number": "715-343-5929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OSL SP 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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• Assisted Living Facility in Stevens Point, WI
• Providers in Stevens Point, 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.