Olive Grove Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OLIVE GROVE HOSPICE LLC

Practice address

12402 Jamestown St NE Ste 200
Blaine, MN 55449-7541

Phone

(651) 287-0265

Fax

(651) 287-0266

NPI assigned

Mar 22, 2017

Organization subpart

No

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

Authorized official

Name

Rhonda Schillinger

Title

President

Phone

(651) 287-0265

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Hospice certification: CCN 241603

Legal name

OLIVE GROVE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 21, 2018

Last certification

Sep 21, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Mar 6, 2017 in MN

Enrollment address

12402 Jamestown St NE
Ste 200
Blaine, MN 55449-7541

Listed as

Olive Grove Hospice LLCCCN 241603

Ownership

For-Profit

Certified

Sep 21, 2018

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kenneth Olson, MD

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1336126275

  Contracted Managing Employee

  CMS ownership

Practitioners 1

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

• Tina Marie Johnson, M.D.

  • Internal Medicine Physician
  • Woodbury, MN
  • NPI 1316004393
  NPD (past)

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• April D Abrahamson, MD

  • Internal Medicine Physician
  • Stillwater, MN
  • NPI 1679532246

  Hospice

  Care Compare affiliation
• Josephine O'Gara, MD

  • Internal Medicine Physician
  • Stillwater, MN
  • NPI 1124197140

  Hospice

  Care Compare affiliation
• Charles Dennis O'Hare, MD

  • Family Medicine Physician
  • Stillwater, MN
  • NPI 1265474811

  Hospice

  Care Compare affiliation
• Emily Aunspaugh Wiese, APRN, NP-C

  • Family Nurse Practitioner
  • Woodbury, MN
  • NPI 1700437183

  Hospice

  Care Compare affiliation
• John Thomas Murphy, MD

  • Family Medicine Physician
  • Hudson, WI
  • NPI 1235115791

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1871024794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12402 JAMESTOWN ST NE STE 200",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497541",
            "telephone_number": "651-287-0265",
            "fax_number": "651-287-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12402 JAMESTOWN ST NE STE 200",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497541",
            "telephone_number": "651-287-0265",
            "fax_number": "651-287-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE GROVE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "SCHILLINGER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-287-0265"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "olivegrovecare.com",
            "affiliation": "N",
            "endpointDescription": "direct website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hospice",
            "address_1": "12402 Jamestown St NE Ste 200",
            "city": "Blaine",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554497541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Occupational Health Centers of Minnesota PC
• Ocularra Holding. Inc
• Jackline N. Ogari
• Ohana Home Care
• Faith Onajite Okuneye, RN
• Danielle C Olmschenk, PHARMD
• Bradley Thomas Olson, PT
• Caralyn Anne Olson, MASSAGE THERAPIST
• Jennifer June Olson, M.D.
• Laura Olson, PA-C

• Community Based Hospice Care Agency in Blaine, MN
• Providers in Blaine, MN by specialty
• Community Based Hospice Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.