Organization Active NPI

Sun Prairie Osl Operating LLC

  • Assisted Living Facility
  • Sun Prairie, WI
National Provider Identifier
1922968379
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SUN PRAIRIE OSL OPERATING LLC
Practice address
650 Broadway Dr
Sun Prairie, WI 53590-1762
Phone
(239) 292-1513
NPI assigned
Nov 17, 2025
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Ayla Harwood
Title
Coo
Phone
(239) 292-1513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

650 Broadway Dr
Sun Prairie, WI 53590-1762

Mailing address

12811 Kenwood LN Ste 218
Fort Myers, FL 33907-5645
Phone (239) 292-1513

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1922968379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12811 KENWOOD LN STE 218",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075645",
            "telephone_number": "239-292-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 BROADWAY DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901762",
            "telephone_number": "239-292-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN PRAIRIE OSL OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "HARWOOD",
        "authorized_official_first_name": "AYLA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "239-292-1513"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.