Olive Branch Assisted Living Llc

LBN: Olive Branch Assisted Living Llc
Olive Branch Assisted Living Llc is an health care organization with primary practice located at 1121 N Olive Ave , Casa Grande AZ 85122-3418. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Olive Branch Assisted Living Llc can be contacted via phone (602) 618-3756, or through Appleton, Russell via phone (602) 618-3756.

Contact Information

Primary practice address
1121 N Olive Ave Casa Grande AZ 85122-3418
Phone: (602) 618-3756
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Appleton, Russell
Phone: (602) 618-3756

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1245963610
LBN Legal business name Olive Branch Assisted Living Llc
DBA Doing business as
Authorized official Appleton, Russell
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2022
Last updated Jul 5th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245963610 NPPES
Arizona MEDICAID BH7438

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