Olive Care

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OLIVE CARE

Practice address

2901 Prince Hall Dr
Detroit, MI 48207-5123

Phone

(404) 207-8256

NPI assigned

Jul 25, 2016

Organization subpart

No

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

Authorized official

Name

Miss Myesha L Riley

Title

Director

Phone

(404) 207-8256

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1326591504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 PRINCE HALL DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482075123",
            "telephone_number": "404-207-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 PRINCE HALL DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482075123",
            "telephone_number": "404-207-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "MYESHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-207-8256",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryant Will Oliphant, M.D.
• Kennedy Jensen Oliphant, MD
• Onyekachukwu Olisemeka, M.D.
• Katherine Leigh Olivares, MD
• Gavin Forrest Olivarez
• Olive Seed LLC
• Phillip Oliveira, PHYSICIAN ASSISTANT
• Ericka Natasha Oliver-Linen, MD
• Diane Oliver-Page
• Alicia Oliver, RN,BSN,BSW

• Community/Behavioral Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.