Organization Active NPI

Osl 10507 Oak Creek Operating LLC

  • Assisted Living Facility
  • Oak Creek, WI
National Provider Identifier
1669257390
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
OSL 10507 OAK CREEK OPERATING LLC
Practice address
10507 S Chicago Rd
Oak Creek, WI 53154-6605
Phone
(414) 764-3303
Fax
(414) 764-8156
NPI assigned
Aug 30, 2023
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
OSL PLATINUM MANAGEMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Matt Teresinski
Title
Vice President
Phone
(414) 324-5172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

10507 S Chicago Rd
Oak Creek, WI 53154-6605

Mailing address

2448 S 102ND St Ste 305
West Allis, WI 53227-2141
Phone (414) 214-8950

Other practice location 1

2448 S 102nd St Ste 305
West Allis, WI 53227-2141
Phone (414) 214-8950

Other practice location 2

8526 W Mill Rd
Milwaukee, WI 53225-1934
Phone (414) 358-0407

Other practice location 3

3950 N Main St
Racine, WI 53402-3683
Phone (262) 639-1100

Other practice location 4

550 River Rd
Columbus, WI 53925-1721
Phone (920) 623-5810

Other practice location 5

227 E Washington St
Slinger, WI 53086-9585
Phone (262) 644-5926

Other practice location 6

3553 S 41st St
Milwaukee, WI 53221-1024
Phone (414) 649-0730

Other practice location 7

1301 E Main St
Watertown, WI 53094-4043
Phone (414) 649-0730

Other practice location 8

505 S Water St
Sheboygan, WI 53081-4429
Phone (920) 451-6923

National Provider Directory

National Provider Directory

Locations

10507 S Chicago Rd
Oak Creek, WI 53154
Phone (414) 764-3303

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1669257390",
    "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": "414-214-8950",
            "fax_number": "414-755-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10507 S CHICAGO RD",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531546605",
            "telephone_number": "414-764-3303",
            "fax_number": "414-764-8156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2448 S 102nd St Ste 305",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532272141",
            "country_code": "US",
            "telephone_number": "414-214-8950",
            "fax_number": "414-755-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8526 W Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532251934",
            "country_code": "US",
            "telephone_number": "414-358-0407",
            "fax_number": "414-358-0019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3950 N Main St",
            "address_purpose": "LOCATION",
            "city": "Racine",
            "state": "WI",
            "postal_code": "534023683",
            "country_code": "US",
            "telephone_number": "262-639-1100",
            "fax_number": "262-833-0370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 River Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "WI",
            "postal_code": "539251721",
            "country_code": "US",
            "telephone_number": "920-623-5810",
            "fax_number": "920-623-5255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Slinger",
            "state": "WI",
            "postal_code": "530869585",
            "country_code": "US",
            "telephone_number": "262-644-5926",
            "fax_number": "262-644-7829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3553 S 41st St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532211024",
            "country_code": "US",
            "telephone_number": "414-649-0730",
            "fax_number": "414-831-1188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 E Main St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "WI",
            "postal_code": "530944043",
            "country_code": "US",
            "telephone_number": "414-649-0730",
            "fax_number": "414-831-1188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 S Water St",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530814429",
            "country_code": "US",
            "telephone_number": "920-451-6923",
            "fax_number": "920-451-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OSL 10507 OAK CREEK OPERATING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSL PLATINUM MANAGEMENT LLC",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "TERESINSKI",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "414-324-5172"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.