NPIMap

Organization Active NPI

The Olive Foundation

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1669080644
Registry record updated Jul 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE OLIVE FOUNDATION
Doing business as
THE OLIVE FOUNDATION
Practice address
6638 S 6TH Ave
Phoenix, AZ 85041-5764
Phone
(202) 640-0238
Fax
(602) 429-8462
NPI assigned
Jul 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2020

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

Authorized official

Name
Charles Ogu
Title
Owner
Phone
(202) 640-0238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6638 S 6TH Ave
Phoenix, AZ 85041-5764

Mailing address

6638 S 6TH Ave
Phoenix, AZ 85041-5764
Phone (202) 640-0238

Other names 1

  • THE OLIVE FOUNDATION Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595116800000",
    "number": "1669080644",
    "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": "202-640-0238",
            "fax_number": "602-429-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6638 S 6TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415764",
            "telephone_number": "202-640-0238",
            "fax_number": "602-429-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OLIVE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-19",
        "certification_date": "2020-07-19",
        "status": "A",
        "authorized_official_last_name": "OGU",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-640-0238"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE OLIVE FOUNDATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE OLIVE FOUNDATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.