Individual provider Active NPI

Olga Kourdioukova

  • Respite Care Camp
  • West Bloomfield, MI
National Provider Identifier
1477349140
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite Care CampTaxonomy code 385HR2050X
License
AS630418408 Issued in MI
Practice address
6151 Saint James Dr
West Bloomfield, MI 48322-2374
Phone
(248) 217-4473
NPI assigned
Apr 17, 2025
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care Camp 385HR2050X AS630418408 MI Primary

Addresses

Primary practice location

6151 Saint James Dr
West Bloomfield, MI 48322-2374

Mailing address

6151 Saint James Dr
West Bloomfield, MI 48322-2374
Phone (248) 217-4473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AS630418408MIMDRespite Care Camp

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadia Living LLC CurrentSince Apr 20, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1477349140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 SAINT JAMES DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222374",
            "telephone_number": "248-217-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 SAINT JAMES DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222374",
            "telephone_number": "248-217-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURDIOUKOVA",
        "first_name": "OLGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "MI",
            "license": "AS630418408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.