HSL 17, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HSL 17, LLC

Doing business as

Heritage Oshkosh

Practice address

150 Aspire LN
Oshkosh, WI 54904-2317

Phone

(612) 709-0620

NPI assigned

Nov 28, 2022

Organization subpart

No

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

Authorized official

Name

Kelly Hause

Title

Corporate Business Office Manager

Phone

(612) 709-0620

Specialties & licenses 1

Addresses

Other names 1

• Heritage Oshkosh Doing business as

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1265142624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 NORTHLAND DR STE 270",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201373",
            "telephone_number": "952-351-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ASPIRE LN",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549042317",
            "telephone_number": "612-709-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSL 17, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "HAUSE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CORPORATE BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "612-709-0620"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Oshkosh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela T House, MD
• Ramez Hoveydai, D.O.
• Jonathan Howard, MD
• Penny Howell, R.N.
• Michael Y Hsie, MD
• John J Hubertus
• Amber V Huberty, NP
• Lindsey E Hudack, PT
• Luke Huebner, PHARMD
• Sean Huff, DO

• Assisted Living Facility in Oshkosh, WI
• Providers in Oshkosh, 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 Nov 28, 2022; 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.