Osterman'S # 4 Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

OSTERMAN'S # 4 INC

Practice address

1681 Stetson Way
Redding, CA 96003-7110

Phone

(530) 275-2346

Fax

(530) 275-6674

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Doris Susan Osterman

Title

Owner Administrator

Phone

(530) 275-2346

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1245422500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960190905",
            "telephone_number": "530-275-2346",
            "fax_number": "530-275-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 STETSON WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960037110",
            "telephone_number": "530-275-2346",
            "fax_number": "530-275-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTERMAN'S # 4 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "OSTERMAN",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "530-275-2346",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CEDI-CAL",
            "identifier": "LTC 60904G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan D Osborne, D.O.
• Geoffrey Osgood II, MD
• Michelle Renee Ospital, P.T.
• Donald E Ostendorf, MA
• Vanessa Oster
• Osterman'S #1 Inc
• Osterman'S #2 Inc
• Hannah Ostrowski
• Melissa Anne Overley
• Owens, Inc.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Redding, CA
• Providers in Redding, CA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.