NPIMap

Organization Active NPI

Olive Living Assisted Living LLC

  • Assisted Living Facility
  • Baltimore, MD
National Provider Identifier
1639716723
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
OLIVE LIVING ASSISTED LIVING LLC
Practice address
4802 Wendel Ave
Baltimore, MD 21206-3300
Phone
(443) 762-0314
NPI assigned
Dec 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2019

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

Authorized official

Name
Polycarp Nwalor
Title
Director
Phone
(443) 762-0314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4802 Wendel Ave
Baltimore, MD 21206-3300

Mailing address

4802 Wendel Ave
Baltimore, MD 21206-3300
Phone (443) 762-0314

Other names 1

  • Olive Living Assisted Living LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575763200000",
    "number": "1639716723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 WENDEL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063300",
            "telephone_number": "443-762-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 WENDEL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063300",
            "telephone_number": "443-762-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE LIVING ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-08",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A",
        "authorized_official_last_name": "NWALOR",
        "authorized_official_first_name": "POLYCARP",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-762-0314"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olive Living Assisted Living LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; 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.