NPIMap

Organization Active NPI

Olive Branch Assisted Living LLC

  • Non-emergency Medical Transport (VAN)
  • Casa Grande, AZ
National Provider Identifier
1801394861
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
50709 Issued in AZ
Legal business name
OLIVE BRANCH ASSISTED LIVING LLC
Practice address
1121 N Olive Ave
Casa Grande, AZ 85122-3418
Phone
(602) 618-3756
NPI assigned
Jan 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Russell Allen AppletonNPI 1386380996
Title
Owner
Phone
(602) 618-3756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 50709 AZ Primary

Addresses

Primary practice location

1121 N Olive Ave
Casa Grande, AZ 85122-3418

Mailing address

1121 N Olive Ave
Casa Grande, AZ 85122-3418
Phone (602) 618-3756

Other names 1

  • Terra Medical Transport Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Olive Branch Assisted Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1801394861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N OLIVE AVE",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851223418",
            "telephone_number": "602-618-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N OLIVE AVE",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851223418",
            "telephone_number": "602-618-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "APPLETON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-618-3756"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "50709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terra Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.