Active NPI
Villa at Osseo LLC
Doing business as The Villa at Osseo
- Skilled Nursing Facility
- Osseo, MN
National Provider Identifier
1972947851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- VILLA AT OSSEO LLC
- Doing business as
- The Villa at Osseo
- Practice address
- 501 2ND Street NE
Osseo, MN 55369-1603 - Phone
- (763) 425-3939
- NPI assigned
- Apr 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Israel
- Title
- President
- Phone
- (847) 692-1155
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
501 2ND Street NE
Osseo, MN 55369-1603
Mailing address
3701 W Lunt Ave
Lincolnwood, IL 60712-2615
Phone (847) 440-2660
Other names 1
- The Villa at Osseo
National Provider Directory
National Provider DirectoryLocations
501 2nd St SE
Osseo, MN 55369
Phone (763) 425-3939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668556800000",
"number": "1972947851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 W LUNT AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607122615",
"telephone_number": "847-440-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 2ND STREET NE",
"city": "OSSEO",
"state": "MN",
"postal_code": "553691603",
"telephone_number": "763-425-3939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLA AT OSSEO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-23",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A",
"authorized_official_last_name": "ISRAEL",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-692-1155"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Villa at Osseo",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Osseo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.