Osl 550 Columbus Operating LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OSL 550 COLUMBUS OPERATING LLC

Practice address

550 River Rd
Columbus, WI 53925-1721

Phone

(920) 623-5810

Fax

(920) 623-5255

NPI assigned

Aug 30, 2023

Organization subpart

Yes

Parent organization

OSL PLATINUM MANAGEMENT LLCAs reported in NPPES

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

Authorized official

Name

Matt Teresinski

Title

VP

Phone

(414) 324-5172

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1104601756",
    "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": "550 RIVER RD",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251721",
            "telephone_number": "920-623-5810",
            "fax_number": "920-623-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSL 550 COLUMBUS OPERATING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSL PLATINUM MANAGEMENT LLC",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "TERESINSKI",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "414-324-5172"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Nothem, D.D.S.
• Kelly C O'Heron, RD CD
• Dennis A Oeth, MD
• Debbie Oldenburg, D.C.
• Marisa Renee Opsahl, R.N.
• Mitchell Osterhaus, RN
• Jean Marie Ott, COTA
• Parkside Chiropractic LTD
• Kerry Pasewald
• David L Peloza, MD

• Assisted Living Facility in Columbus, WI
• Providers in Columbus, 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 Aug 31, 2023; 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.