Osl Sem Operating LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OSL SEM OPERATING LLC

Doing business as

Prairie View Manor

Practice address

111 Commercial Dr
Footville, WI 53537-2300

Phone

(608) 876-4000

NPI assigned

Mar 13, 2024

Last updated

Mar 13, 2024By 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

Matt Teresinski

Title

VP

Phone

(414) 214-8950

Specialties & licenses 1

Addresses

Other names 1

• Prairie View Manor Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1518726546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 S 102ND ST STE 305",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272141",
            "telephone_number": "414-214-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COMMERCIAL DR",
            "city": "FOOTVILLE",
            "state": "WI",
            "postal_code": "535372300",
            "telephone_number": "608-876-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSL SEM OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "TERESINSKI",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "414-214-8950"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie View Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Footville EMS Service
• Footville Fire Dept & EMS
• St. Elizabeth Manor, Inc.
• David Sulik, MANAGER

• Assisted Living Facility in Footville, WI
• Providers in Footville, 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 Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.