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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 343900000X | Non-emergency Medical Transport (VAN) | 50709 | AZ | Transportation Services |
Other Name | Type Code |
---|---|
Terra Medical Transport | Doing Business As Name - Organization |
Street Address |
1121 N OLIVE AVE |
City | CASA GRANDE |
State | AZ |
Zip Code | 85122-3418 |
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 |
Find all providers in zip 85122 |
Taxonomy Code | 343900000X |
Grouping | Transportation Services |
Classification | Non-emergency Medical Transport (VAN) |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | CASA GRANDE |
Zip Code | 85122 |
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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.