Olive Grove Community Center LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

OLIVE GROVE COMMUNITY CENTER LLC

Practice address

114 McClean Ave
Staten Island, NY 10305-4667

Phone

(917) 500-0500

NPI assigned

Oct 10, 2025

Last updated

Feb 26, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fatenah Adel Asad-Abuzaharieh

Title

Owner

Phone

(646) 377-5672

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1154296879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MCCLEAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054667",
            "telephone_number": "917-500-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MCCLEAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054667",
            "telephone_number": "917-500-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE GROVE COMMUNITY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "ASAD-ABUZAHARIEH",
        "authorized_official_first_name": "FATENAH",
        "authorized_official_middle_name": "ADEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-377-5672"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modupe Mojisola Olisa, RN
• Catherine Oliva, R.N.
• Jonathan Oliva
• Kristen Oliva, PTA
• Celene Olivas, MD
• Olive Home Care Corporation
• Andreia Oliveira
• Courtney Oliver, LMSW
• Carol A Oliveri, R.N.
• John R Oliveri

• Adult Day Care Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.