Organization Active NPI

Olive Health and Wellness LLC

  • Family Medicine Physician
  • Greenville, TX
National Provider Identifier
1285445528
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OLIVE HEALTH AND WELLNESS LLC
Practice address
3819 State Highway 34 S Ste D
Greenville, TX 75402-5121
Phone
(864) 428-7358
NPI assigned
Jan 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Love Olanrewaju Olaleye, NPNPI 1114777562
Title
Aprn
Phone
(864) 428-7358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3819 State Highway 34 S Ste D
Greenville, TX 75402-5121

Mailing address

3819 State Highway 34 S Ste D
Greenville, TX 75402-5121
Phone (864) 428-7358

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2315692Olive Health and Wellness Clinic3819 State Hwy 34 S Ste D, Greenville, TX 75402Certificate of waiverDec 16, 2026

National Provider Directory

National Provider Directory

Locations

4222 Moulton St
#B
Greenville, TX 75401

3819 State Highway 34 S
Ste D
Greenville, TX 75402
Phone (864) 428-7358

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1285445528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 STATE HIGHWAY 34 S STE D",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754025121",
            "telephone_number": "864-428-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 STATE HIGHWAY 34 S STE D",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754025121",
            "telephone_number": "864-428-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "OLALEYE",
        "authorized_official_first_name": "LOVE",
        "authorized_official_middle_name": "OLANREWAJU",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "864-428-7358",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.