Provider Demographics
NPI:1881627891
Name:OLIVES HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:OLIVES HOME HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CELESTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBINEKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-310-4311
Mailing Address - Street 1:7514 LEEWARD LN
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-5471
Mailing Address - Country:US
Mailing Address - Phone:972-310-4311
Mailing Address - Fax:972-475-7679
Practice Address - Street 1:7514 LEEWARD LN
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-5471
Practice Address - Country:US
Practice Address - Phone:972-310-4311
Practice Address - Fax:972-475-7679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010532251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health