Olive Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

384331 Issued in MN

Legal business name

OLIVE HEALTHCARE LLC

Practice address

5836 James Ave N
Brooklyn Center, MN 55430-3421

Phone

(612) 886-6206

NPI assigned

Jun 13, 2018

Last updated

Sep 1, 2023By 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

Olusola Ayodeji Agunbiade

Title

Administrator

Phone

(612) 886-6206

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1881187839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5836 JAMES AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302648",
            "telephone_number": "612-886-6206",
            "fax_number": "612-324-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5836 JAMES AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554303421",
            "telephone_number": "612-886-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2023-09-01",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "AGUNBIADE",
        "authorized_official_first_name": "OLUSOLA",
        "authorized_official_middle_name": "AYODEJI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-886-6206"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "384331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sesan L Ogunniran, APRN
• Naomi E. Ojumah, M.D.
• Helen Wuraola Okelola
• Lindsay Okindo
• Alexandra Oleinik, DO
• Diane M Ollendick Wright, LICSW, CPRP
• Carl Olson-Skog
• April Marie Olson, LICSW
• Colin David Olson
• Spencer Olson, LP

• Home Health Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.