Osl 505 Sheboygan Operating LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OSL 505 SHEBOYGAN OPERATING LLC

Practice address

505 S Water St
Sheboygan, WI 53081-4429

Phone

(920) 451-6923

Fax

(920) 451-1140

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

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) 324-5172

Specialties & licenses 1

Addresses

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": "1942085691",
    "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": "505 S WATER ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814429",
            "telephone_number": "920-451-6923",
            "fax_number": "920-451-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSL 505 SHEBOYGAN 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": "VP",
        "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": []
}

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• Assisted Living Facility in Sheboygan, WI
• Providers in Sheboygan, 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 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.