Olive Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OLIVE HOME HEALTH, LLC

Practice address

5100 E Anaheim Rd Ste a-104
Long Beach, CA 90815-4200

Phone

(562) 552-8048

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Maria Milagros Fontanilla

Title

Managing Member

Phone

(562) 552-8048

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1528838968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 E ANAHEIM RD STE A-104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154200",
            "telephone_number": "562-552-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 E ANAHEIM RD STE A-104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154200",
            "telephone_number": "562-552-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "FONTANILLA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "MILAGROS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "562-552-8048"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna A Olinova, APCC#14943
• Laura Olivares
• Michael Olivarez, DPT
• Leonard William Olivas
• Olive Crest
• Olive Tree Home
• Karime Olivera
• Karla Patricia Olmedo Gutierrez, MD
• Douglas Olmedo
• Melissa Olmedo, LPCC

• Home Health Agency in Long Beach, CA
• Providers in Long Beach, 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 Feb 9, 2024; 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.