MEDICARE: OSN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1558013649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSN LLC

Provider Business Mailing Address
First Line	:	36528 GRAND RIVER AVE STE A-3
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48335-3016
Country	:	US
Telephone Number	:	248-987-6865
Fax Number	:	248-987-6866

Provider Business Practice Location Address
First Line	:	36528 GRAND RIVER AVE STE A-3
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48335-3016
Country	:	US
Telephone Number	:	248-987-6865
Fax Number	:	248-987-6866

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. NIKHIL MEHROTRA
Credential	:
Telephone Number	:	248-640-9305

Provider Enumeration Date	:	01/20/2022
Last Update Date	:	01/20/2022

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Directions to “OSN LLC ” Practice Location

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