NPIMap

Organization Active NPI

Oliver Enterprise LLC

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1205129327
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4320 Issued in NC
Legal business name
OLIVER ENTERPRISE LLC
Practice address
316 W Millbrook Rd Ste 117
Raleigh, NC 27609-4482
Phone
(919) 836-9144
NPI assigned
May 23, 2011
Last updated
Mar 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Lisa Oliver
Title
Ceo/MGR
Phone
(252) 321-4934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4320 NC Primary

Addresses

Primary practice location

316 W Millbrook Rd Ste 117
Raleigh, NC 27609-4482

Mailing address

3225 Groveshire Dr.
Raleigh, NC 27616

Other identifiers 1

IdentifierTypeStateIssuer
HC4320MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Oliver Enterprise LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

316 W Millbrook Rd
Ste 117
Raleigh, NC 27609
Phone (919) 836-9144

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1205129327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 GROVESHIRE DR.",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W MILLBROOK RD STE 117",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094482",
            "telephone_number": "919-836-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVER ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO/MGR",
        "authorized_official_telephone_number": "252-321-4934"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC4320",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.