Olive Home Health Center Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OLIVE HOME HEALTH CENTER INC

Practice address

2222 W Manchester Blvd
Suite B
Inglewood, CA 90305-2524

Phone

(323) 751-7000

NPI assigned

Sep 22, 2011

Organization subpart

No

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

Authorized official

Name

Ekatte Iton

Title

President

Phone

(323) 751-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059646

Legal name

OLIVE HOME HEALTH CENTER, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 12, 2014

Last certification

Jan 26, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 23, 2011 in CA

Enrollment address

2222 West Manchester Blvd
Ste B
Inglewood, CA 90305-2529

Listed as

Olive Home Health Center, IncCCN 059646

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Dec 12, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

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

• Ekaette Iton, R.N

  • Mental Health Counselor
  • Inglewood, CA
  • NPI 1326125527
  NPD

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Olukemi A Wallace, M.D.

  • Specialist
  • Inglewood, CA
  • NPI 1609804350

  Home health agency

  Care Compare affiliation
• Ronald Irving Jacoby, M.D.

  • Internal Medicine Physician
  • Cape Coral, FL
  • NPI 1346269669

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1346523784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W MANCHESTER BLVD",
            "address_2": "SUITE B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052529",
            "telephone_number": "323-751-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W MANCHESTER BLVD",
            "address_2": "SUITE B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052524",
            "telephone_number": "323-751-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE HOME HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "ITON",
        "authorized_official_first_name": "EKATTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-751-7000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omotunde Titilope Olagunju, M.D
• Olufunmilayo Olanipekun, DPM
• Julie Lyn Oldenburg, RD, CDE
• Olga Medical Distributors Inc.
• Richard John Olivarez II
• Dionzhane Oliver, DDS
• Loraine Oliver
• Towan Oliver
• Megan Shaune Olson, LCSW
• Olu Oredugba MD a Professional Medical Corporation

• Home Health Agency in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.