Olympic Group Home and Homecare Services

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

0400510330 Issued in NJ

Legal business name

OLYMPIC GROUP HOME AND HOMECARE SERVICES

Practice address

105 Woodland Road
Bloomfield, NJ 07003

Phone

(201) 522-6526

NPI assigned

Nov 26, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Grace K Nyatome, ME.D

Title

Manager

Phone

(201) 522-6526

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1164766507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WOODLAND RD",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035201",
            "telephone_number": "201-522-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WOODLAND ROAD",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "201-522-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC GROUP HOME AND HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "NYATOME",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-522-6526",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ME.D"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "NJ",
            "license": "0400510330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Anne Elizabeth Ohanian
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• Dominic Oramas, DC
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• Case Manager/Care Coordinator in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Case Manager/Care Coordinator in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.