OLIVE HOME GROUP LLC NPI 1265354005

NPI Information

  • NPI: 1265354005
  • Provider Name: OLIVE HOME GROUP, LLC
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 1615 LOREN CRES
    PORTSMOUTH, VA
    ZIP 23701
  • Phone: (757) 769-4794

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NPI Details

OLIVE HOME GROUP, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Portsmouth, VA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. OLIVE HOME GROUP, LLC NPI is 1265354005. The provider is registered as an organization entity type.

The provider's business location address is:

1615 LOREN CRES
PORTSMOUTH, VA
ZIP 23701-822
Phone: (757) 769-4794
Fax: (757) 765-6773

The provider's authorized official is Crystal Foster .
The authorized official title is Ceo and has the following contact phone number (757) 769-4794.

The enumeration date for this NPI number is 7/25/2026 and was last updated on 7/25/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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