Olive Branch Family Care Homes of Union County, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OLIVE BRANCH FAMILY CARE HOMES OF UNION COUNTY, LLC

Practice address

502 N Elm St
Marshville, NC 28103-1029

Phone

(704) 305-7851

Fax

(855) 595-2307

NPI assigned

Oct 21, 2024

Last updated

Oct 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela C Smith, OWNERNPI 1932686425

Title

Administrator

Phone

(704) 305-7851

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela C Smith, RN

  • Administrator Registered Nurse
  • Marshville, NC
  • NPI 1932686425
  NPD Authorized official

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1699596940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N ELM ST",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281031029",
            "telephone_number": "704-305-7851",
            "fax_number": "855-595-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N ELM ST",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281031029",
            "telephone_number": "704-305-7851",
            "fax_number": "855-595-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH FAMILY CARE HOMES OF UNION COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-305-7851",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lambert Medlin, COTA/L
• Christina Helms Mull
• Tammy Lannette Myrick Carpenter, FNP-BC
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #07573)
• Karla Jimenez Oakland
• Milin Patel, PHARM D.
• Pierce Family Wellness Center, PLLC
• Leola Powell
• Elizabeth Price
• Brandi Selina Queen, FNP

• Assisted Living Facility in Marshville, NC
• Providers in Marshville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.