Olive Home Care Corporation

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

006719-1 Issued in NY

Legal business name

OLIVE HOME CARE CORPORATION

Practice address

81 Simonson Ave
Staten Island, NY 10303-2506

Phone

(347) 938-2470

NPI assigned

Jan 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Martin Ukeje

Title

President

Phone

(347) 938-2470

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1326319500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 SIMONSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032506",
            "telephone_number": "347-938-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 SIMONSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032506",
            "telephone_number": "347-938-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE HOME CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "UKEJE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-938-2470",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NY",
            "license": "006719-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modupe Mojisola Olisa, RN
• Catherine Oliva, R.N.
• Jonathan Oliva
• Celene Olivas, MD
• Olive Grove Community Center LLC
• Andreia Oliveira
• Courtney Oliver, LMSW
• Carol A Oliveri, R.N.
• John R Oliveri
• Evelyn Olivetti

• Oxygen Equipment & Supplies (DME) in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Oxygen Equipment & Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.