HSL 17, LLC
NPI 1265142624
Assisted Living Facility in Oshkosh, WI

Active since November 28, 2022CLIA 52D2235184 · Waiver
150 ASPIRE LN, OSHKOSH, WI 54904(612) 709-0620 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Hsl 17, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HSL 17, LLC (NPI 1265142624), doing business as Heritage Oshkosh, is a healthcare organization registered as an assisted living facility in Oshkosh, Wisconsin and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through September 6, 2027 and lists Kelly Hause, Corporate Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1265142624
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHSL 17, LLC
Location Address150 ASPIRE LNOshkosh, WI 54904-2317
Mailing Address1295 Northland Dr Ste 270Mendota Heights, MN 55120-1373 · (952) 351-4552
Organization SubpartNo
Authorized OfficialKelly HauseCorporate Business Office Manager · (612) 709-0620
Enumeration DateNovember 28, 2022
NPPES CertifiedNovember 28, 2022
NPI 1265142624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
150 ASPIRE LN, Oshkosh, WI 54904

Other Names 1

Doing Business AsHeritage Oshkosh

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2235184

Hsl-17, LLC · Oshkosh, WI
Active · expires Sep 6, 2027
CLIA Number52D2235184
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 7, 2025
Certificate Expiration DateSeptember 6, 2027
Laboratory DirectorAmanda M. Runnoe
Laboratory Phone(920) 891-7077
Laboratory LocationHsl-17, LLC150 Aspire Ln, Oshkosh, WI 54902
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
150 ASPIRE LN
OSHKOSH, WI 54904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hsl 17, LLC's NPI number?

The NPI number for Hsl 17, LLC is 1265142624. It was assigned to this organization in the NPPES registry on November 28, 2022. The provider is doing business as Heritage Oshkosh.

Where is Hsl 17, LLC located?

Hsl 17, LLC is located at 150 Aspire Ln, Oshkosh, WI 54904. The listed phone number is (612) 709-0620.

What is Hsl 17, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Hsl 17, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2235184) is associated with this NPI, valid through September 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hsl 17, LLC was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.