Active NPIOrganization

Olive Grove Community Center LLC

Clinic/Center, Adult Day Care in Staten Island, New York

NPI Number1154296879
Practice location
114 Mcclean Ave, Staten Island, NY 10305-4667
Fax
—
Last updated
February 26, 2026

Olive Grove Community Center LLC is a healthcare organization based in Staten Island, NY. Olive Grove Community Center LLC practices in Staten Island, NY. The NPI Number for Olive Grove Community Center LLC is 1154296879. The current practice location address for Olive Grove Community Center LLC is 114 Mcclean Ave, Staten Island, NY 10305-4667 and can be reached out via phone at 917-500-0500.

Provider Profile Details

NPI Number
1154296879
Provider Name
Olive Grove Community Center LLC
Provider Entity Type
Organization
Address
114 Mcclean Ave, Staten Island, NY 10305-4667
Phone Number
917-500-0500
Primary Taxonomy
Clinic/Center, Adult Day Care · 261QA0600X
Organization Subpart
No
Authorized Official
Fatenah Adel Asad-Abuzaharieh · Owner · 646-377-5672
Provider Enumeration Date
October 10, 2025
Last Update Date
February 26, 2026
Certification Date
February 26, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 Mcclean Ave
Staten Island, NY 10305-4667
Zip
10305-4667
Phone Number
917-500-0500
Staten Island, NY 10305Get directions →

Provider Business Mailing Address Details

Address
114 Mcclean Ave
Staten Island, NY 10305-4667
City
Staten Island
State
NY
Zip
10305-4667
Phone Number
917-500-0500

License Information

Taxonomy
Clinic/Center, Adult Day Care · 261QA0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Olive Grove Community Center LLC?

The NPI number of Olive Grove Community Center LLC is 1154296879. It was assigned on October 10, 2025 and is currently active in the NPPES registry.

What is the specialty of Olive Grove Community Center LLC?

Olive Grove Community Center LLC is registered under the primary taxonomy Clinic/Center, Adult Day Care (code 261QA0600X).

Where does Olive Grove Community Center LLC practice?

The practice location is 114 Mcclean Ave, Staten Island, NY 10305-4667. The office can be reached at 917-500-0500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154296879 directly on the NPPES registry website.

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