Osl Operating LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OSL OPERATING LLC

Doing business as

Reflections Memory Care of Port Orange

Practice address

1321 Herbert St
Port Orange, FL 32129-4135

Phone

(386) 310-4995

NPI assigned

Feb 21, 2024

Organization subpart

No

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

Authorized official

Name

Ayla Harwood

Title

Coo

Phone

(239) 292-1513

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Reflections Memory Care of Port Orange Doing business as

Locations

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1407612104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 BERACASA WAY STE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333453",
            "telephone_number": "239-292-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 HERBERT ST",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294135",
            "telephone_number": "386-310-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSL OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "HARWOOD",
        "authorized_official_first_name": "AYLA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "239-292-1513"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115292000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflections Memory Care of Port Orange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Port Orange, FL
• Providers in Port Orange, 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 Feb 21, 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.