OLIVE BRANCH ASSISTED LIVING LLC
NPI 1245963610
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Casa Grande, AZ
NPI Status: Active since July 05, 2022
Contact Information
1121 N OLIVE AVE
CASA GRANDE, AZ
ZIP 85122
Phone: (602) 618-3756
- Organization
- Residential Treatment Facility, Intellec...
About OLIVE BRANCH ASSISTED LIVING LLC
This page provides the complete NPI Profile along with additional information for Olive Branch Assisted Living Llc, a provider established in Casa Grande, Arizona operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1245963610 assigned on July 2022. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Russell Appleton (Manager)
- NPI
- 1245963610
- Provider Name
- OLIVE BRANCH ASSISTED LIVING LLC
- Entity Type
- Organization
- Location Address
- 1121 N OLIVE AVE CASA GRANDE, AZ 85122
- Location Phone
- (602) 618-3756
- Mailing Address
- 4726 E WHITE ASTER ST PHOENIX, AZ 85044
- Mailing Phone
- (602) 618-3756
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-05-2022
- Last Update Date
- 07-05-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility | |
| 2 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| BH7438 | MEDICAID (05) | AZ |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 9 | 6 | 3 | 6 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 18 | 6 | 6 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 8 + 6 + 6 + 6 + 2 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1245963610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801394861 | OLIVE BRANCH ASSISTED LIVING LLC Organization | Non-emergency Medical Transport (VAN) | 1121 N OLIVE AVE CASA GRANDE, AZ 85122 (602) 618-3756 |
| 1386380996 | RUSSELL APPLETON Individual | Community Based Residential Treatment Facility, Mental Illness | 1121 N OLIVE AVE CASA GRANDE, AZ 85122 (602) 618-3756 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245963610, enumerated in the NPI registry as an "organization" on July 05, 2022
The provider is located at 1121 N Olive Ave Casa Grande, Az 85122 and the phone number is (602) 618-3756
This medical organization specializes in Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 05, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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