Halcyon Senior Services of Osseo, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HALCYON SENIOR SERVICES OF OSSEO, LLC

Practice address

7429 Royal Harbour Cir
Ooltewah, TN 37363-9151

Phone

(423) 227-5957

NPI assigned

Jan 26, 2015

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

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1376933655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7429 ROYAL HARBOUR CIR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639151",
            "telephone_number": "423-227-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7429 ROYAL HARBOUR CIR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639151",
            "telephone_number": "423-227-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON SENIOR SERVICES OF OSSEO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lester Timothy Haag, DPM
• Robina Habib, DMD
• Bonny M Hadacek, RN
• Halcyon Healthcare, LLC
• Halcyon Senior Services of Barron, LLC
• Wendy M Halsey-Richardson, MS, CCC-A
• Richard A Ham, PHARM.D.
• S. Marie Bell Hamilton, NP
• Kara Hancock, DMD
• Chad Harlin, GNP-BC

• Assisted Living Facility in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.