Active NPI
Olive Homecare LL.C
- Home Health Agency
- Middle River, MD
National Provider Identifier
1205533288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- OLIVE HOMECARE LL.C
- Practice address
- 664 Compass Rd
Middle River, MD 21220-2544 - Phone
- (443) 762-0314
- NPI assigned
- Feb 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Polycarp Nwalor
- Title
- Director
- Phone
- (443) 762-0314
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
664 Compass Rd
Middle River, MD 21220-2544
Mailing address
664 Compass Rd
Middle River, MD 21220-2544
Phone (443) 762-0314
Other names 2
- Olive Homecare LL.C
- Olive Living Assisted Living LL.C
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675987200000",
"number": "1205533288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 COMPASS RD",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202544",
"telephone_number": "443-762-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 COMPASS RD",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202544",
"telephone_number": "443-762-0314"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVE HOMECARE LL.C",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-10",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A",
"authorized_official_last_name": "NWALOR",
"authorized_official_first_name": "POLYCARP",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "443-762-0314"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Olive Homecare LL.C",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Olive Living Assisted Living LL.C",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Middle River, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.