OLIVE BRANCH ASSISTED LIVING LLC


Address: 1121 N Olive Ave, Casa Grande, AZ 85122-3418
Phone: 6026183756

OLIVE BRANCH ASSISTED LIVING LLC (NPI# 1801394861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801394861
Entity Type Organization
Organization Name OLIVE BRANCH ASSISTED LIVING LLC
Other Organization Name TERRA MEDICAL TRANSPORT
Practice Address 1121 N Olive Ave
Casa Grande
AZ 85122-3418
Practice Telephone 6026183756
Mailing Telephone 6026183756
Enumeration Date 2018-01-24
Last Update Date 2018-01-24
Authorized Official Name RUSSELL ALLEN APPLETON (OWNER)
Authorized Official Telephone 6026183756
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 343900000X Non-emergency Medical Transport (VAN) 50709 AZ Transportation Services

Other Provider/Organization Names

Other Name Type Code
Terra Medical Transport Doing Business As Name - Organization

Office Location

Street Address 1121 N OLIVE AVE
City CASA GRANDE
State AZ
Zip Code 85122-3418

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043857097 Karen M Garcia Registered Nurse 2631 N Brown Avenue, Casa Grande, AZ 85122 2019-12-09
1063060291 Martha Bollin Registered Nurse 2631 N. Brown Ave., Casa Grande, AZ 85122 2019-08-30
1841846920 Banner Imaging Services LLC Radiology 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 2019-08-14
1629532692 Kirk Lee Mackley Physical Therapist Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 2019-01-24
1205307436 Natalie T Trujillo Physician Assistant 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 2018-12-16
1710455860 Community Intervention Associates, Inc Clinic/Center 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 2018-11-07
1245728302 Jenkins Chiropractic LLC Chiropractor 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 2018-04-24
1497242408 Kelly Winnett Naturopath 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 2018-04-16
1851895783 Michael Brubaker Counseling Community/Behavioral Health 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 2018-03-23
1770095317 Walmart Stores Inc. Pharmacy 1741 E. Florence Blvd, Casa Grande, AZ 85122 2017-11-03
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Taxonomy Information

Taxonomy Code 343900000X
Grouping Transportation Services
Classification Non-emergency Medical Transport (VAN)

Taxonomy Definition

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497033146 Casa Grand Vip & Shuttle LLC Non-emergency Medical Transport (VAN) 292 W Settlers Trl, Casa Grande, AZ 85122-8277 2011-07-29
1558649525 Casa Grande Transportation Services, LLC Non-emergency Medical Transport (VAN) 1273 E Avenida Fresca, Casa Grande, AZ 85122-1001 2011-07-25
1841424173 Jessie Solis Non-emergency Medical Transport (VAN) 204 N Sacaton St, Casa Grande, AZ 85222-4433 2009-05-15
1508000241 Az Health Transport LLC Non-emergency Medical Transport (VAN) 244 S La Amador Trl, Casa Grande, AZ 85294-8543 2009-04-24
1124271838 Central Arizona Transport and Shuttle 'llc' Non-emergency Medical Transport (VAN) 1525 N Gilbert Ave, Casa Grande, AZ 85222-2704 2008-10-25
1265569131 C & J Vip & Shuttle Service, LLC Non-emergency Medical Transport (VAN) 1715 N Pinal Ave, Casa Grande, AZ 85222-1805 2007-02-27
1710096763 Az Patient Transport Non-emergency Medical Transport (VAN) 1790 N Pinal Ave, Casa Grande, AZ 85122 2006-08-30
1508153008 Community Bridges, Inc. Non-emergency Medical Transport (VAN) 675 E Cottonwood Ln, Suite 101, Casa Grande, AZ 85122-2032 2011-07-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265033500 M&m Medical Transportation Non-emergency Medical Transport (VAN) 4421 W Cholla St, Glendale, AZ 85304-3533 2020-11-03
1528667045 Raymond George Bulot Non-emergency Medical Transport (VAN) 2331 W Palm Ln, Phoenix, AZ 85009-2902 2020-10-26
1033718275 Husameldin Osman Non-emergency Medical Transport (VAN) 4610 S Rural Rd Apt 508, Tempe, AZ 85282-7039 2020-10-19
1306452552 Michael Rebuck Non-emergency Medical Transport (VAN) 1325 W Roma Ave, Phoenix, AZ 85013-2827 2020-09-22
1942812417 Hopefaith Transportation Inc Non-emergency Medical Transport (VAN) 4422 N 75th St Unit 6010, Scottsdale, AZ 85251-4080 2020-08-17
1174131247 Nemt Solution Non-emergency Medical Transport (VAN) 872 E Morelos St, Chandler, AZ 85225-6465 2020-07-15
1942826219 Ashraf Ali Omer Sr. Non-emergency Medical Transport (VAN) 19820 N 13th Ave Unit 147, Phoenix, AZ 85027-4310 2020-06-22
1184240954 Extreme Medical Transportation Non-emergency Medical Transport (VAN) 34000 N 27th Dr Unit 3069, Phoenix, AZ 85085-6646 2020-06-17
1669094199 Up Right Transportation LLC Non-emergency Medical Transport (VAN) 4532 E Gleneagle Dr, Chandler, AZ 85249-7428 2020-05-06
1124649165 Tracie Armstead-payton Non-emergency Medical Transport (VAN) 42778 W Irene Rd, Maricopa, AZ 85138-5898 2020-04-30
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Competitor

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City CASA GRANDE
Zip Code 85122

Improve Information

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Dataset Information

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.

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