Osseo Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OSSEO HEALTHCARE, LLC

Doing business as

Dove Healthcare- Osseo

Practice address

51019 Ridgeview Rd
Osseo, WI 54758-2606

Phone

(715) 597-2493

NPI assigned

Jan 26, 2015

Last updated

May 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tommy Davidson

Title

Chief Manager

Phone

(423) 227-5957

Specialties & licenses 1

Addresses

Other names 1

• Dove Healthcare- Osseo Doing business as

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1326438557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51019 RIDGEVIEW RD",
            "city": "OSSEO",
            "state": "WI",
            "postal_code": "547582606",
            "telephone_number": "715-597-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51019 RIDGEVIEW RD",
            "city": "OSSEO",
            "state": "WI",
            "postal_code": "547582606",
            "telephone_number": "715-597-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSSEO HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "423-227-5957",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dove Healthcare- Osseo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Ogboye
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• Osseo Assisted Living LLC (Dove Healthcare - Osseo Assisted Living)
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• Osseo Rehabilitation and Nursing Center LLC (Dove Healthcare - Osseo)
• Osseo-Fairchild
• Lise Pattermann, PT
• Nancy Marie Pearson, PT
• Morgan Perry

• Skilled Nursing Facility in Osseo, WI
• Providers in Osseo, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.