OLIVE LIVING ASSISTED LIVING LLC (NPI# 1639716723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639716723 |
| Entity Type | Organization |
| Organization Name | OLIVE LIVING ASSISTED LIVING LLC |
| Practice Address |
4802 Wendel Ave Baltimore MD 21206-3300 |
| Practice Telephone | 4437620314 |
| Mailing Telephone | 4437620314 |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2019-12-08 |
| Authorized Official Name | POLYCARP NWALOR (DIRECTOR) |
| Authorized Official Telephone | 4437620314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Olive Living Assisted Living LLC | Doing Business As Name - Organization |
| Street Address |
4802 WENDEL AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21206-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370601 | Tates Health Care, LLC | Nursing Care | 7303 Beech Ave, Baltimore, MD 21206 | 2019-08-02 |
| 1962912444 | Meagan Carreira | Occupational Therapy Assistant | 5009 Frankfurt Avenue, Baltimore, MD 21206 | 2017-10-10 |
| 1821511551 | Anu Healthcare Services Inc | Psychiatry & Neurology | 4809 Belair Road, Baltimore, Maryland, MD 21206 | 2017-07-25 |
| 1447704648 | Belair Health Solutions, Inc | Counselor | 4825 Belair Rd., Baltimore, MD 21206 | 2016-08-05 |
| 1053716563 | Paule Kengne | Home Health Aide | 4602 Willshire Ave, Baltimore, MD 21206 | 2014-10-27 |
| 1821408733 | Shana Gee | Technician | 4238 Seidel Ave, Baltimore, MD 21206 | 2014-04-30 |
| 1902236524 | Heidi Ann Smith | Physical Therapist | 3910 Chesley Avenue, Baltimore, MD 21206 | 2013-11-18 |
| 1891138277 | Kenyona N Davis | Social Worker | 5622 Remmell Ave Unit F, Baltimore, MD 21206 | 2013-04-16 |
| 1497095368 | Aderonke Ogunsua | Home Health Aide | 4430 Moravia Rd Apt10, Baltimore, MD 21206 | 2013-02-28 |
| 1902173974 | Jennifer Lea Reed | Social Worker | 5901 Benton Heights Avenue, Baltimore, MD 21206 | 2011-11-19 |
| Find all providers in zip 21206 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486032 | Comfort At Home Care, LLC | Assisted Living Facility | 4628 Marble Hall Rd, Baltimore, MD 21239-3937 | 2020-10-27 |
| 1740896182 | M&o Prestige Partnership LLC | Assisted Living Facility | 1805 Ashburton St, Baltimore, MD 21216-3538 | 2020-09-21 |
| 1922612563 | Tracie Shirrelle Gambrill | Assisted Living Facility | 3029 Windsor Ave, Baltimore, MD 21216-2751 | 2020-09-01 |
| 1952920191 | Sheila's Place Assisted Living | Assisted Living Facility | 5813 Eurith Ave, Baltimore, MD 21206-2736 | 2020-04-08 |
| 1609403955 | Ashley Tonique Thompson | Assisted Living Facility | 952 Harlem Ave, Baltimore, MD 21217-2423 | 2020-03-26 |
| 1487285631 | Aim To Inspire Assisted Living LLC | Assisted Living Facility | 1329 N Caroline St, Baltimore, MD 21213-2819 | 2020-01-27 |
| 1932739927 | Greater Glory Assisted Living | Assisted Living Facility | 3414 Menlo Dr, Baltimore, MD 21215-3828 | 2020-01-19 |
| 1962055798 | Amber Yates | Assisted Living Facility | 1210 Edison Hwy, Baltimore, MD 21213-4005 | 2019-07-21 |
| 1316509524 | New Hope Assisted Living LLC | Assisted Living Facility | 5502 Seward Ave, Baltimore, MD 21206-4424 | 2019-07-08 |
| 1104390665 | Diorshay M Robinson | Assisted Living Facility | 1011 N Augusta Ave, Baltimore, MD 21229-1827 | 2019-01-17 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on OLIVE LIVING ASSISTED LIVING LLC.
| 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.