The Olive Foundation LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

THE OLIVE FOUNDATION LLC

Doing business as

Empowerment Home Behavioral Health Services

Practice address

820 S Bridger Dr
Chandler, AZ 85225-6490

Phone

(602) 612-2231

Fax

(602) 429-8462

NPI assigned

May 14, 2022

Organization subpart

No

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

Authorized official

Name

Charles Ogu

Title

Owner

Phone

(602) 612-2231

Specialties & licenses 1

Addresses

Other names 1

• Empowerment Home Behavioral Health Services Doing business as

Tax ID family

Breeze of Hope Restoration Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• The Olive Foundation

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1669080644
  NPD tax ID
• The Olive Foundation LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Phoenix, AZ
  • NPI 1184384497
  NPD tax ID

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

{
    "created_epoch": "1652486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652486400000",
    "number": "1598402216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6638 S 6TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415764",
            "telephone_number": "602-612-2231",
            "fax_number": "602-429-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S BRIDGER DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256490",
            "telephone_number": "602-612-2231",
            "fax_number": "602-429-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OLIVE FOUNDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-14",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A",
        "authorized_official_last_name": "OGU",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-612-2231"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empowerment Home Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Good Samaritan Home Care
• The Heart of the Matter, PLLC
• The Held Self Therapy PLLC
• The Honest Mama Project LLC
• The Human Experience Professional Counseling Services LLC
• The Provinces Dental Care
• The Rejuvenation Center of Chandler
• The Route
• The Southwest Center for Obsessive Compulsive Disorders LLC
• The Talk Teachers, LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; 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.