Olive Tree Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

197803459 Issued in CA

Legal business name

OLIVE TREE HOME

Practice address

1035 Olive Ave
Long Beach, CA 90813-3518

Phone

(562) 432-1163

NPI assigned

Mar 30, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Eulalia Vann, ELDERLY CARE

Title

Facility Manager

Phone

(562) 432-1163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1619292828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 OLIVE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133518",
            "telephone_number": "562-432-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 OLIVE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133518",
            "telephone_number": "562-432-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "EULALIA",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "562-432-1163",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ELDERLY CARE"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "197803459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Olivares
• Michael Olivarez, DPT
• Leonard William Olivas
• Olive Crest
• Olive Home Health, LLC
• Karime Olivera
• Karla Patricia Olmedo Gutierrez, MD
• Douglas Olmedo
• Melissa Olmedo, LPCC
• Analyn Filomeno Olmos, RN

• Adult Care Home Facility in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.