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OLIVE TREE HOME NPI 1619292828


NPI Information

NPI: 1619292828
Provider Name: OLIVE TREE HOME
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1035 OLIVE AVE
LONG BEACH, CA
ZIP 90813
Phone: (562) 432-1163
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OLIVE TREE HOME is an adult care home custodial care facility in Long Beach, CA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. OLIVE TREE HOME NPI is 1619292828. The provider is registered as an organization entity type.

The provider's business location address is:

1035 OLIVE AVE
LONG BEACH, CA
ZIP 90813-518
Phone: (562) 432-1163

The provider's authorized official is Eulalia Vann .
The authorized official title is Facility Manager and has the following contact phone number (562) 432-1163.

The enumeration date for this NPI number is 3/30/2010 and was last updated on 3/30/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care Home197803459CALIFORNIAYes

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: 4/28/2024

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