Olsl Dedham, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OLSL DEDHAM, LLC

Practice address

735 Washington St
Dedham, MA 02026-4462

Phone

(781) 251-9330

Fax

(781) 251-9329

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kelly Lanham

Title

Chief Accounting Officer

Phone

(502) 779-7512

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720114606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 4TH ST",
            "address_2": "SUITE 1900",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023426",
            "telephone_number": "502-779-7512",
            "fax_number": "502-779-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 WASHINGTON ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264462",
            "telephone_number": "781-251-9330",
            "fax_number": "781-251-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSL DEDHAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANHAM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "502-779-7512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "1900820",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Dedham, MA
• Providers in Dedham, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.