Organization Active NPI

Olemc LLC

  • Assisted Living Facility
  • Clearwater, FL
National Provider Identifier
1669823274
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
OLEMC LLC
Practice address
2075 Rainbow Dr
Clearwater, FL 33765-3639
Phone
(727) 266-4092
NPI assigned
Jun 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Authorized official

Name
Mr. James A Fagbodun
Title
Administrator
Phone
(813) 230-7628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FL Primary

Addresses

Primary practice location

2075 Rainbow Dr
Clearwater, FL 33765-3639

Mailing address

2075 Rainbow Dr
Clearwater, FL 33765-3639
Phone (727) 266-4092

National Provider Directory

National Provider Directory

Locations

2075 Rainbow Dr
Clearwater, FL 33765
Phone (727) 266-4092

NPI Registry JSON

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1669823274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 RAINBOW DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653639",
            "telephone_number": "727-266-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 RAINBOW DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653639",
            "telephone_number": "727-266-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEMC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "FAGBODUN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-230-7628",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.