OSL OPERATING LLC NPI 1407612104

NPI Information

  • NPI: 1407612104
  • Provider Name: OSL OPERATING LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1321 HERBERT ST
    PORT ORANGE, FL
    ZIP 32129
  • Phone: (386) 310-4995

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NPI Details

OSL OPERATING LLC is an assisted living facility in Port Orange, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. OSL OPERATING LLC NPI is 1407612104. The provider is registered as an organization entity type.

The provider's business location address is:

1321 HERBERT ST
PORT ORANGE, FL
ZIP 32129-135
Phone: (386) 310-4995

The provider's authorized official is Ayla Harwood .
The authorized official title is Coo and has the following contact phone number (239) 292-1513.

The enumeration date for this NPI number is 2/21/2024 and was last updated on 2/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1115292000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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