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OLIVE BRANCH ASSISTED LIVING LLC
NPI 1245963610
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Casa Grande, AZ

Active since July 05, 2022
1121 N OLIVE AVE, CASA GRANDE, AZ 85122(602) 618-3756 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olive Branch Assisted Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVE BRANCH ASSISTED LIVING LLC (NPI 1245963610) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Casa Grande, Arizona and active in the NPI registry since July 2022. The organization lists Russell Appleton, Manager, as its authorized official.

NPPES Registry Identity

NPI1245963610
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameOLIVE BRANCH ASSISTED LIVING LLC
Location Address1121 N OLIVE AVECasa Grande, AZ 85122-3418
Mailing Address4726 E White Aster StPhoenix, AZ 85044-4908 · (602) 618-3756
Phone(602) 618-3756
Organization SubpartNo
Authorized OfficialRussell AppletonManager · (602) 618-3756
Enumeration DateJuly 5, 2022
NPPES CertifiedJuly 5, 2022
✔ NPI 1245963610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
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.
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
1121 N OLIVE AVE, Casa Grande, AZ 85122
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Other Identifiers 1

MedicaidBH7438AZ

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUSSELL APPLETON
Community Based Residential Treatment Facility, Mental Illness
1121 N OLIVE AVE
CASA GRANDE, AZ 85122
Pinal County (602) 618-3756
OLIVE BRANCH ASSISTED LIVING LLC
Non-emergency Medical Transport (VAN)
1121 N OLIVE AVE
CASA GRANDE, AZ 85122
Pinal County (602) 618-3756

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olive Branch Assisted Living LLC's NPI number?

The NPI number for Olive Branch Assisted Living LLC is 1245963610. It was assigned to this organization in the NPPES registry on July 5, 2022.

Where is Olive Branch Assisted Living LLC located?

Olive Branch Assisted Living LLC is located at 1121 N Olive Ave, Casa Grande, AZ 85122. The listed phone number is (602) 618-3756.

What is Olive Branch Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Olive Branch Assisted Living LLC was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.