OLYMPIC GROUP HOME AND HOMECARE SERVICES (NPI# 1164766507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164766507 |
| Entity Type | Organization |
| Organization Name | OLYMPIC GROUP HOME AND HOMECARE SERVICES |
| Practice Address |
105 Woodland Road Bloomfield NJ 07003 |
| Mailing Address |
105 Woodland Rd Bloomfield NJ 07003-5201 |
| Practice Telephone | 2015226526 |
| Mailing Telephone | 2015226526 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | MRS. GRACE K NYATOME (MANAGER) |
| Authorized Official Telephone | 2015226526 |
| Authorized Official Credential | ME.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 0400510330 | NJ | Other Service Providers |
| Street Address |
105 WOODLAND ROAD |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962911214 | Untapped Potential | Case Manager/Care Coordinator | 28 Baldwin Pl, Bloomfield, NJ 07003-6009 | 2017-09-29 |
| 1144696139 | Gabriella Perrone | Case Manager/Care Coordinator | 39 Winding Ln, Bloomfield, NJ 07003-4310 | 2015-08-13 |
| 1194138792 | Maggie Wanis | Case Manager/Care Coordinator | 75 Grove St, Apt 3, Bloomfield, NJ 07003-5641 | 2014-06-11 |
| 1356775449 | Lavette Quintana | Case Manager/Care Coordinator | 404 N Frontier St, Bloomfield, NM 87413-5528 | 2013-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750890 | Mykyah Boone | Case Manager/Care Coordinator | 500 Park Blvd Apt 135c, Cherry Hill, NJ 08002-4032 | 2020-11-03 |
| 1356955066 | Genius Gold Investments LLC | Case Manager/Care Coordinator | 41 W Prospect St Unit 308, Waldwick, NJ 07463-1653 | 2020-09-01 |
| 1144832452 | Laura Walker-talbot | Case Manager/Care Coordinator | 675 Washington Ave, Woodbury, NJ 08096-3544 | 2020-08-18 |
| 1770193385 | Doris Isolde Burns | Case Manager/Care Coordinator | 697 Crescent Dr, Bound Brook, NJ 08805-1105 | 2020-08-07 |
| 1316564420 | Ariana Matos | Case Manager/Care Coordinator | 2635 Kennedy Blvd Apt 5g, North Bergen, NJ 07047-2117 | 2020-07-06 |
| 1952927725 | Moancy John | Case Manager/Care Coordinator | 263 Keats Ave, Elizabeth, NJ 07208-1059 | 2020-06-17 |
| 1205458833 | Jane Preguica | Case Manager/Care Coordinator | 785 Chestnut St, Union, NJ 07083-9317 | 2020-05-18 |
| 1679192421 | Fiscally Responsible LLC | Case Manager/Care Coordinator | 175 Elmwood Dr, Clifton, NJ 07013-1129 | 2020-04-12 |
| 1285260885 | Ashley Elizabeth Gery | Case Manager/Care Coordinator | 1580 U.S. 9, Cape May Court House, NJ 08210 | 2020-03-16 |
| 1669008405 | Alt Best Practices Bhom2, LLC | Case Manager/Care Coordinator | 81 Crooked Stick Rd, Jackson, NJ 08527-4032 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.