NPIMap

Organization Active NPI

Olive Home Care Services, Inc

  • Community/Behavioral Health Agency
  • Riverdale, GA
National Provider Identifier
1063896009
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
031-R-0047 Issued in GA
Legal business name
OLIVE HOME CARE SERVICES, INC
Practice address
808 Commerce Blvd
E
Riverdale, GA 30296-7192
Phone
(770) 997-8949
NPI assigned
Jul 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ganiyu Kasumu
Title
Administrator
Phone
(770) 997-8949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 031-R-0047 GA Primary

Addresses

Primary practice location

808 Commerce Blvd
E
Riverdale, GA 30296-7192

Mailing address

808 Commerce Blvd
E
Riverdale, GA 30296-7192
Phone (770) 997-8949

National Provider Directory

National Provider Directory
Tax ID family
Olive Home Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

808 Commerce Blvd
Ste E
Riverdale, GA 30296
Phone (770) 997-8949

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1063896009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 COMMERCE BLVD",
            "address_2": "E",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302967192",
            "telephone_number": "770-997-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 COMMERCE BLVD",
            "address_2": "E",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302967192",
            "telephone_number": "770-997-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE HOME CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "KASUMU",
        "authorized_official_first_name": "GANIYU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-997-8949"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "031-R-0047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.