Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Olive Grove LLC

Organization Adult Care Home Facility · NPI 1699191775

Olive Grove LLC is an Adult Care Home Facility in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2014.

Licensed in
NV
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9446 Back Bay Cir
Las Vegas, NV 89123-5947
Phone: (702) 413-6947
Fax: (702) 359-1983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence 76654GC-1 (NV)

Record details

NPI number1699191775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Royce Long — Corporate Officer/President · (714) 981-9081
Other names Olive Grove Residential Care
NPI enumeratedMarch 12, 2014
Last updated in NPPESMarch 12, 2014
Mailing address723 E Kirkwall Rd, Glendora, CA 91740-5715

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