Olive Branch Group Home, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OLIVE BRANCH GROUP HOME, INC.

Practice address

522 SW 5TH Ave
Gainesville, FL 32601-6640

Phone

(352) 335-4525

NPI assigned

Feb 5, 2022

Organization subpart

No

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

Authorized official

Name

Joanne Sapp

Title

Manager

Phone

(352) 335-4525

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644019200000",
    "number": "1932853249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 SW 5TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326016640",
            "telephone_number": "352-335-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 SW 5TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326016640",
            "telephone_number": "352-335-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A",
        "authorized_official_last_name": "SAPP",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-335-4525"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gainesville",
            "affiliation": "N",
            "address_1": "522 SW 5th Ave",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326016640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.