OLIVE MOUNTAIN RESIDENTIAL CARE LLC (NPI# 1811929623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811929623 |
| Entity Type | Organization |
| Organization Name | OLIVE MOUNTAIN RESIDENTIAL CARE LLC |
| Practice Address |
25466 N Hwy 5 Lebanon MO 65536-0969 |
| Mailing Address |
Po Box 969 Lebanon MO 65536-0969 |
| Practice Telephone | 4175323045 |
| Practice Fax Number | 4175324104 |
| Mailing Telephone | 4175323045 |
| Mailing Fax Number | 4175324104 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS STEPHANIE NICHOLE UPTON (FINANCIAL MANAGER) |
| Authorized Official Telephone | 4175323045 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 033209 | MO | Nursing & Custodial Care Facilities |
| Street Address |
25466 N HWY 5 |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-0969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| 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 |
|---|---|---|---|---|
| 1326664947 | Fm Oaks, LLC | Assisted Living Facility | 621 W Oak St, Lebanon, OR 97355-1788 | 2020-06-19 |
| 1164085577 | Otterbein Lebanon | Assisted Living Facility | 585 North State Route 741, Lebanon, OH 45036-8839 | 2019-04-22 |
| 1427401546 | Bellwood Assisted Living LLC | Assisted Living Facility | 3190 Carthage Hwy, Lebanon, TN 37087-9564 | 2016-07-14 |
| 1720416399 | Al Lebanon Operations, LLC | Assisted Living Facility | 860 Norman Dr, Lebanon, PA 17042-7499 | 2013-10-17 |
| 1891032710 | Southern Manor Living Centers of Lebanon, LLC | Assisted Living Facility | 900 Coles Ferry Pike, Lebanon, TN 37087-5677 | 2013-01-11 |
| 1043520133 | Countryside Home, LLC | Assisted Living Facility | 24499 Park Dr, Lebanon, MO 65536-5843 | 2010-10-07 |
| 1467640631 | Alice Peck Day Health Systems | Assisted Living Facility | 121 Mascoma St, Lebanon, NH 03766-2610 | 2007-10-12 |
| 1225244940 | Bristol Care, Inc. | Assisted Living Facility | 1316 Deadra Dr, Lebanon, MO 65536-4609 | 2007-05-16 |
| 1487771275 | Century Fields | Assisted Living Facility | 181 S 5th St, Lebanon, OR 97355-2711 | 2007-03-25 |
| 1306970025 | Krn-dns Inc. | Assisted Living Facility | 31841 Highway 5, Lebanon, MO 65536-6898 | 2007-03-15 |
| Find all providers in LEBANON | ||||
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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.