Active NPI
Olive Health Services
- Home Health Agency
- Conyers, GA
National Provider Identifier
1013359843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- OLIVE HEALTH SERVICES
- Practice address
- 1257 Commercial Dr SW
Conyers, GA 30094-5991 - Phone
- (770) 895-5752
- NPI assigned
- Jul 22, 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
- Ms. Maxine P Burch
- Title
- Ceo
- Phone
- (770) 895-5752
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1257 Commercial Dr SW
Conyers, GA 30094-5991
Mailing address
PO Box 16404
Atlanta, GA 30321-0404
Phone (770) 895-5752
National Provider Directory
National Provider DirectoryLocations
1257 Commercial Dr SW
Conyers, GA 30094
Phone (678) 365-2375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374451200000",
"number": "1013359843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16404",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303210404",
"telephone_number": "770-895-5752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1257 COMMERCIAL DR SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300945991",
"telephone_number": "770-895-5752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVE HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-22",
"last_updated": "2013-07-22",
"status": "A",
"authorized_official_last_name": "BURCH",
"authorized_official_first_name": "MAXINE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-895-5752",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.