Organization Active NPI

Oliver's House LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Mebane, NC
National Provider Identifier
1649073065
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
OLIVER'S HOUSE LLC
Practice address
604 Lee St
Mebane, NC 27302-9155
Phone
(336) 512-9568
NPI assigned
Mar 31, 2025
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Ms. Deirdre D Vinson
Title
Member/Organizer
Phone
(336) 512-9568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

604 Lee St
Mebane, NC 27302-9155

Mailing address

3306 Doral CT
Burlington, NC 27215-8101
Phone (336) 512-9568

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1649073065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 DORAL CT",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158101",
            "telephone_number": "336-512-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 LEE ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029155",
            "telephone_number": "336-512-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVER'S HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER/ORGANIZER",
        "authorized_official_telephone_number": "336-512-9568",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.