OLIVE GROVE REAL ESTATE LLC
NPI 1598180648
Assisted Living Facility in Phoenix, AZ
About Olive Grove Real Estate Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLIVE GROVE REAL ESTATE LLC (NPI 1598180648) is a healthcare organization registered as an assisted living facility in Phoenix, Arizona and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Aaron Benton, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2288757
Olive Grove Alc, LLC Dba Olive Grove Assisted Living And Memory Care · Phoenix, AZOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Grove Real Estate LLC's NPI number?
The NPI number for Olive Grove Real Estate LLC is 1598180648. It was assigned to this organization in the NPPES registry on February 26, 2014.
Where is Olive Grove Real Estate LLC located?
Olive Grove Real Estate LLC is located at 3014 E Indian School Rd, Phoenix, AZ 85016. The listed phone number is (623) 505-4668.
What is Olive Grove Real Estate LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Olive Grove Real Estate LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2288757) is associated with this NPI, valid through August 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Olive Grove Real Estate LLC was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Olive Grove Real Estate Llc · NPI 1598180648
Assisted Living Facility organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since February 26, 2014.
## Identity
- **NPI:** 1598180648 (Entity type: Organization)
- **Enumerated:** February 26, 2014
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** Yes (part of Stellar Senior Living Llc)
- **Authorized official:** Aaron Benton, MEMBER
## Practice location
- **Address:** 3014 E INDIAN SCHOOL RD, Phoenix, AZ 85016-6887
- **Phone:** (623) 505-4668
## Record status
- **NPPES last updated:** February 26, 2014
- **Other identifiers:** Medicaid 884722 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1598180648) · Data from the CMS NPPES public registry.