MEDICARE: OSR LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1881352185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSR LLC

Provider Business Mailing Address
First Line	:	PO BOX 604
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48332-0604
Country	:	US
Telephone Number	:	248-640-9305
Fax Number	:

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	:	248-640-9305
Fax Number	:	248-987-6866

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

Provider Enumeration Date	:	12/03/2021
Last Update Date	:	12/03/2021

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Directions to “OSR LLC ” Practice Location

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