Healthcare Provider Details

I. General information

NPI: 1407646029
Provider Name (Legal Business Name): OLIVIA HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 JENNIFER LN
BURLINGTON NJ
08016-1143
US

IV. Provider business mailing address

5 JENNIFER LN
BURLINGTON NJ
08016-1143
US

V. Phone/Fax

Practice location:
  • Phone: 862-872-8981
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTHONY OKONMAH
Title or Position: ADMINISTRATOR
Credential:
Phone: 862-872-8981