OLYMPIC MEDICAL LLC
NPI 1710692173
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ankeny, IA

Active since January 19, 2023
4823 NE OAK LN, ANKENY, IA 50021(712) 221-5827 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Olympic Medical Llc NPPES

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

OLYMPIC MEDICAL LLC (NPI 1710692173) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Ankeny, Iowa and active in the NPI registry since January 2023. The organization lists Raymond Agbor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710692173
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameOLYMPIC MEDICAL LLC
Location Address4823 NE OAK LNAnkeny, IA 50021-1851
Mailing Address4823 Ne Oak LnAnkeny, IA 50021-1851 · (712) 221-5827
Organization SubpartNo
Authorized OfficialRaymond AgborCeo · (712) 221-5827
Enumeration DateJanuary 19, 2023
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
✔ NPI 1710692173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
4823 NE OAK LN, Ankeny, IA 50021

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 Olympic Medical LLC's NPI number?

The NPI number for Olympic Medical LLC is 1710692173. It was assigned to this organization in the NPPES registry on January 19, 2023.

Where is Olympic Medical LLC located?

Olympic Medical LLC is located at 4823 NE Oak Ln, Ankeny, IA 50021. The listed phone number is (712) 221-5827.

What is Olympic Medical LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Olympic Medical LLC was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.