NPIMap

Organization Active NPI

Olive Home Care Services Inc

  • Home Health Agency
  • Riverdale, GA
National Provider Identifier
1174757710
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
031R0047 Issued in GA
Legal business name
OLIVE HOME CARE SERVICES INC
Practice address
808 Commerce Blvd
Suite E
Riverdale, GA 30296-7192
Phone
(770) 997-8949
Fax
(770) 997-8909
NPI assigned
May 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Mr. Ganiyu O Kasumu
Title
Ceo
Phone
(770) 997-8949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 031R0047 GA Primary

Addresses

Primary practice location

808 Commerce Blvd
Suite E
Riverdale, GA 30296-7192

Mailing address

808 Commerce Blvd
Riverdale, GA 30296-7192
Phone (770) 997-8949

National Provider Directory

National Provider Directory
Tax ID family
Olive Home Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1174757710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 COMMERCE BLVD",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302967192",
            "telephone_number": "770-997-8949",
            "fax_number": "770-997-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 COMMERCE BLVD",
            "address_2": "SUITE E",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302967192",
            "telephone_number": "770-997-8949",
            "fax_number": "770-997-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE HOME CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "KASUMU",
        "authorized_official_first_name": "GANIYU",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-997-8949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "031R0047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.