Organization Active NPI

Olympia Home Care, Inc

  • Home Health Agency
  • Niles, MI
National Provider Identifier
1124057815
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OLYMPIA HOME CARE, INC
Practice address
210 E Main St
Niles, MI 49120-2304
Phone
(269) 684-0739
Fax
(269) 687-1001
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mwaba Mwenya
Title
President
Phone
(269) 684-0739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

210 E Main St
Niles, MI 49120-2304

Mailing address

210 E Main St
Niles, MI 49120-2304
Phone (269) 684-0739

National Provider Directory

National Provider Directory

Locations

210 E Main St
Niles, MI 49120
Phone (269) 340-2770

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124057815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E MAIN ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202304",
            "telephone_number": "269-684-0739",
            "fax_number": "269-687-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E MAIN ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202304",
            "telephone_number": "269-684-0739",
            "fax_number": "269-687-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MWENYA",
        "authorized_official_first_name": "MWABA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-684-0739",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.