Fort Myers Osl Operating LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FORT MYERS OSL OPERATING LLC

Practice address

14521 Lakewood Blvd
Fort Myers, FL 33919-2829

Phone

(239) 481-6666

NPI assigned

Apr 19, 2024

Organization subpart

No

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

Authorized official

Name

Hillel Feuerman

Title

Manager

Phone

(813) 562-9287

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Opal at Lakes Park Doing business as

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1124873567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12811 KENWOOD LN STE 218",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075645",
            "telephone_number": "239-292-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14521 LAKEWOOD BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339192829",
            "telephone_number": "239-481-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MYERS OSL OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "FEUERMAN",
        "authorized_official_first_name": "HILLEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-562-9287"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121903700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Opal at Lakes Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fort Myers Kidney Center LLC
• Fort Myers Medical Universer
• Fort Myers Modern Dentistry, PA
• Fort Myers Nursing Agency
• Fort Myers Nuviva Medical Weight Loss Inc
• Fort Myers Pediatrics LLC
• Fort Myers Primary Care and Wellness LLC
• Fort Myers Psychology, PA
• Fort Myers SL Opco LLC
• Fort Myers Therapy Collective, LLC.

• Assisted Living Facility in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.