Grace Villa Olague

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

639513 Issued in AZ

Practice address

4791 S Lincoln Ridge Dr
Tucson, AZ 85730-4815

Phone

(520) 900-2749

NPI assigned

Mar 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1104096486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 E GRANT RD BLDG A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125829",
            "telephone_number": "602-708-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4791 S LINCOLN RIDGE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857304815",
            "telephone_number": "520-900-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAGUE",
        "first_name": "GRACE",
        "middle_name": "VILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "639513",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AZ",
            "license": "639516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Okocha, MHNP
• Akere Okojie
• Manami Christie Okoshi
• Kelechi Okpara
• Josh Okwuasaba, DO
• Manuel Olague III
• Frank Olaje
• Natalie Olason, RD
• Old Pueblo Acupuncture PLLC
• Old Pueblo Anesthesia

• Mental Illness Community Based Residential Treatment Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.