Villa at Osseo LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

VILLA AT OSSEO LLC

Doing business as

The Villa at Osseo

Practice address

501 2ND St SE
Osseo, MN 55369-1603

Phone

(763) 425-3939

Fax

(763) 424-2777

NPI assigned

Aug 20, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Frances Meehan, ESQ.

Title

Attorney

Phone

(312) 521-2467

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Villa at Osseo Doing business as

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1629401138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 2ND ST SE",
            "city": "OSSEO",
            "state": "MN",
            "postal_code": "553691603",
            "telephone_number": "763-425-3939",
            "fax_number": "763-424-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 2ND ST SE",
            "city": "OSSEO",
            "state": "MN",
            "postal_code": "553691603",
            "telephone_number": "763-425-3939",
            "fax_number": "763-424-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA AT OSSEO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "312-521-2467",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354043000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Villa at Osseo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnie Rose Theis, MS, LPCC
• Jennifer S Thomas, MA, LMFT
• Steven P Tran, DDS
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• David N Warshawsky, O.D.
• Wecare Shuttle Inc

• Nursing Facility/Intermediate Care Facility in Osseo, MN
• Providers in Osseo, MN by specialty
• Nursing Facility/Intermediate Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.