Olive Care Durable Medical & Supplies, LLC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OLIVE CARE DURABLE MEDICAL & SUPPLIES, LLC.

Practice address

123 S. Main St.
Reidsville, GA 30453

Phone

(912) 557-1084

Fax

(912) 557-1086

NPI assigned

Oct 14, 2019

Last updated

Oct 14, 2019By 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. Karisha Marie Ammons

Title

Owner

Phone

(912) 314-8415

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1801438676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 PERKINS HENDRIX RD",
            "city": "COLLINS",
            "state": "GA",
            "postal_code": "304213008",
            "telephone_number": "912-314-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S. MAIN ST.",
            "city": "REIDSVILLE",
            "state": "GA",
            "postal_code": "30453",
            "telephone_number": "912-557-1084",
            "fax_number": "912-557-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE CARE DURABLE MEDICAL & SUPPLIES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "AMMONS",
        "authorized_official_first_name": "KARISHA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-314-8415",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Reidsville, GA
• Providers in Reidsville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.