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

Olive Mountain Residential Care LLC

Organization Assisted Living Facility · NPI 1811929623

Olive Mountain Residential Care LLC is an Assisted Living Facility in Lebanon, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
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

25466 N Hwy 5
Lebanon, MO 65536-0969
Phone: (417) 532-3045
Fax: (417) 532-4104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 033209 (MO)

Record details

NPI number1811929623
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Upton — Financial Manager · (417) 532-3045
NPI enumeratedJuly 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 969, Lebanon, MO 65536-0969

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