Olivebranch Unity Health Services, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

OLIVEBRANCH UNITY HEALTH SERVICES, LLC

Practice address

5245 Centennial Blvd Ste 100
Colorado Springs, CO 80919-4405

Phone

(915) 240-5618

NPI assigned

Oct 25, 2022

Organization subpart

Yes

Parent organization

OLIVEBRANCH UNITY HEALTH SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Shaquindra Hall, COTA/LNPI 1861938375

Title

Owner and Founder

Phone

(915) 240-5618

Specialties & licenses 7

Addresses

Tax ID family

Olivebranch Unity Health Services LLC2 organizations share this tax ID, including this one

Part of

Olivebranch Unity Health Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Olivebranch Unity Health Services, LLC

  • Home Health Agency
  • Colorado SPGS, CO
  • NPI 1730662842
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Olivebranch Unity Health Services, LLC

  • Home Health Agency
  • Colorado SPGS, CO
  • NPI 1730662842
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaquindra Hall

  • Behavior Technician
  • Colorado Springs, CO
  • NPI 1861938375
  NPD Authorized official

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1760109391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 CENTENNIAL BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194405",
            "telephone_number": "915-240-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 CENTENNIAL BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194405",
            "telephone_number": "915-240-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVEBRANCH UNITY HEALTH SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLIVEBRANCH UNITY HEALTH SERVICES, LLC",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SHAQUINDRA",
        "authorized_official_title_or_position": "OWNER AND FOUNDER",
        "authorized_official_telephone_number": "915-240-5618",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Raymond Olivarez
• Jazmin Olivas
• Jennifer Paige Olivas
• Natalia Olivas
• Raegene Olivas
• Joyce Oliveira, RD
• Mario M Oliveira, MD
• Renata Prado de Fuccio Oliveira, M.D.
• Courtney Oliver
• Rachel Oliver, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.