Olive Healthcare Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OLIVE HEALTHCARE AGENCY LLC

Practice address

200 Brandon Ridge CT
Riverdale, GA 30274-7108

Phone

(404) 645-8593

NPI assigned

Sep 23, 2022

Last updated

Sep 23, 2022By 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

Ms. Julia E Azubuike

Title

Ceo

Phone

(404) 645-8593

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1164145157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRANDON RIDGE CT",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302747108",
            "telephone_number": "404-645-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BRANDON RIDGE CT",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302747108",
            "telephone_number": "404-645-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "AZUBUIKE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-645-8593",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casimir Chukwuemeka Okoro, M.D
• Abraham Okoror, MD
• Eniola Oladokun-Meroyi, PMHNP-BC
• Michael Olagbenro, MBBS
• Abiodun G Olatidoye, M.D.
• Olive Home Care Services Inc
• Olive Home Care Services, Inc
• Deon Terrel Oliver Jr., PHARM D.
• Keisha T. Oliver, OT
• Wendy Seay Oliver, MS, CCC-SLP

• Home Health Agency in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.