NPIMap

Organization Active NPI

Olympus House, Inc.

  • Respite Care
  • Anchorage, AK
National Provider Identifier
1548461635
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
427119 Issued in AK
Legal business name
OLYMPUS HOUSE, INC.
Practice address
1621 Demeter Drive
Anchorage, AK 99515
Phone
(907) 770-2730
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yolanda Campos
Title
Administrator
Phone
(907) 770-2730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 427119 AK Primary

Addresses

Primary practice location

1621 Demeter Drive
Anchorage, AK 99515

Mailing address

PO Box 242381
Anchorage, AK 99524
Phone (907) 770-2730

Other identifiers 1

IdentifierTypeStateIssuer
HL5620MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Olympus House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548461635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242381",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99524",
            "telephone_number": "907-770-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 DEMETER DRIVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "907-770-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-770-2730"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AK",
            "license": "427119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HL5620",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.