MEDICARE: OLIVE HOME CARE SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	031R0047	GA

General Provider Information

NPI Number	:	1174757710
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLIVE HOME CARE SERVICES INC

Provider Business Mailing Address
First Line	:	808 COMMERCE BLVD
Second Line	:
City	:	RIVERDALE
State	:	GA
Zip	:	30296-7192
Country	:	US
Telephone Number	:	770-997-8949
Fax Number	:	770-997-8909

Provider Business Practice Location Address
First Line	:	808 COMMERCE BLVD
Second Line	:	SUITE E
City	:	RIVERDALE
State	:	GA
Zip	:	30296-7192
Country	:	US
Telephone Number	:	770-997-8949
Fax Number	:	770-997-8909

Authorized Official
Title or Position	:	CEO
Name	:	MR. GANIYU O KASUMU
Credential	:
Telephone Number	:	770-997-8949

Provider Enumeration Date	:	05/11/2009
Last Update Date	:	05/11/2009

Similar Medicare Providers

1174593222 — OPTIMA PHYSICAL THERAPY INC
Practice Location Address:

808 COMMERCE BLVD , SUITE C2
RIVERDALE, GA
30296-7192

Practice Phone: 770-994-4335
Practice Fax: 770-994-1559

1285859413 — TRI-COUNTY PEDIATRICS
Practice Location Address:

808 COMMERCE BLVD , SUITE A
RIVERDALE, GA
30296-7192

Practice Phone: 770-996-9191
Practice Fax:

1124292826 — DR. ANGELA PATRICE JACKSON M.D.
Practice Location Address:

808 COMMERCE BLVD , SUITE A
RIVERDALE, GA
30296-7192

Practice Phone: 770-996-9191
Practice Fax: 770-996-5298

1225298417 — MANJIT SINGH M.D.
Practice Location Address:

808 COMMERCE BLVD , SUITE A
RIVERDALE, GA
30296-7192

Practice Phone: 770-996-9191
Practice Fax:

1457647158 — JOANA ISABEL BENAYOUN M.D.
Practice Location Address:

808 COMMERCE BLVD , SUITE A
RIVERDALE, GA
30296-7192

Practice Phone: 770-996-9191
Practice Fax: 770-996-5298

1063896009 — OLIVE HOME CARE SERVICES, INC
Practice Location Address:

808 COMMERCE BLVD , E
RIVERDALE, GA
30296-7192

Practice Phone: 770-997-8949
Practice Fax:

Directions to “OLIVE HOME CARE SERVICES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.