Organization Active NPI

Osage Opco LLC

Doing business as Osage Ridge Care Center

  • Skilled Nursing Facility
  • Osage, IA
National Provider Identifier
1407772932
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OSAGE OPCO LLC
Doing business as
Osage Ridge Care Center
Practice address
830 S 5TH St
Osage, IA 50461-1919
Phone
(641) 732-5520
NPI assigned
Jun 29, 2026
Last updated
Jul 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Brantley Shattuck
Title
Managing Partner
Phone
(208) 206-0261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

830 S 5TH St
Osage, IA 50461-1919

Mailing address

830 S 5TH St
Osage, IA 50461-1919
Phone (641) 732-5520

Other names 1

  • OSAGE RIDGE CARE CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1407772932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S 5TH ST",
            "city": "OSAGE",
            "state": "IA",
            "postal_code": "504611919",
            "telephone_number": "641-732-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S 5TH ST",
            "city": "OSAGE",
            "state": "IA",
            "postal_code": "504611919",
            "telephone_number": "641-732-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAGE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "SHATTUCK",
        "authorized_official_first_name": "BRANTLEY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "208-206-0261"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSAGE RIDGE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osage, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.