Olivia'S Senior Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

OLIVIA'S SENIOR HOME CARE LLC

Practice address

5111 Rogers Ave Ste 504
Fort Smith, AR 72903-2041

Phone

(479) 285-5241

Fax

(479) 551-3269

NPI assigned

Dec 21, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Vanessa Laranjo Brown, OWNER

Title

Administrator

Phone

(479) 285-5241

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Olivia'S Senior Home Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Olivia'S Senior Home Care

  • In Home Supportive Care Agency
  • Monticello, AR
  • NPI 1508466640
  NPD tax ID
• Olivia'S Senior Home Care

  • In Home Supportive Care Agency
  • Monticello, AR
  • NPI 1811596521
  NPD tax ID
• Olivia'S Senior Home Care LLC

  • In Home Supportive Care Agency
  • Fort Smith, AR
  • NPI 1801495692
  NPD tax ID

Locations

Practitioners 1

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

• Vanessa Bato Laranjo, C.E.O

  • Home Health Aide
  • Fort Smith, AR
  • NPI 1295223592
  NPD

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1871009142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 S WALDRON RD STE 3B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033655",
            "telephone_number": "479-242-5883",
            "fax_number": "479-242-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 ROGERS AVE STE 504",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032041",
            "telephone_number": "479-285-5241",
            "fax_number": "479-551-3269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E Gaines St",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "AR",
            "postal_code": "716554901",
            "country_code": "US",
            "telephone_number": "479-242-5883",
            "fax_number": "479-242-1925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLIVIA'S SENIOR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "LARANJO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-285-5241",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224878732",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235081732",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nycole Deneece Oliver, APRN
• Tammi Oliver, CNA
• Tara Oliver, QBHP
• Valoree Oliver, QBHP
• Olivia'S Senior Home Care LLC
• Christopher Aaron Olson, D.D.S.
• Heather Olson, LPC
• Soroush Omidvarnia
• Oluwatobiloba Victor Omotunde, MD
• Onsite Neonatal Arkansas PA

• In Home Supportive Care Agency in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• In Home Supportive Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.