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OLIVE GROVE RESIDENTIAL CARE
NPI 1699191775
Custodial Care Facility - Adult Care Home in Las Vegas, NV

Active since March 12, 2014
9446 BACK BAY CIR, LAS VEGAS, NV 89123(702) 413-6947(702) 359-1983 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olive Grove Residential Care NPPES

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

OLIVE GROVE RESIDENTIAL CARE (NPI 1699191775) is a healthcare organization registered as an adult care home in Las Vegas, Nevada and active in the NPI registry since March 2014. The organization lists Royce Long, Corporate Officer/president, as its authorized official.

NPPES Registry Identity

NPI1699191775
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameOLIVE GROVE LLC
Location Address9446 BACK BAY CIRLas Vegas, NV 89123-5947
Mailing Address723 E Kirkwall RdGlendora, CA 91740-5715 · (714) 981-9081 · Fax (702) 359-1983
Phone(702) 413-6947
Fax(702) 359-1983
Organization SubpartNo
Authorized OfficialRoyce LongCorporate Officer/president · (714) 981-9081
Enumeration DateMarch 12, 2014
✔ NPI 1699191775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NV · 76654GC-1
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
9446 BACK BAY CIR, Las Vegas, NV 89123
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Other Names 1

Doing Business AsOlive Grove Residential Care

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 LLC's NPI number?

The NPI number for Olive Grove LLC is 1699191775. It was assigned to this organization in the NPPES registry on March 12, 2014. The provider is doing business as Olive Grove Residential Care.

Where is Olive Grove LLC located?

Olive Grove LLC is located at 9446 Back Bay Cir, Las Vegas, NV 89123. The listed phone number is (702) 413-6947.

What is Olive Grove LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Olive Grove LLC was last updated on March 12, 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.