OrganizationActive
Olive Branch Residential, LLC
NPI 1225127426 · Assisted Living Facility · Olive Branch, MS
Provider details
- NPI number
- 1225127426
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kyle Schade, Manager(573) 471-1113
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9684 Goodman Rd
Olive Branch, MS 38654-1726
Phone: (662) 895-7609
Fax: (662) 895-3501
Street-level locationGet directions
Mailing address
9684 Goodman Rd
Olive Branch, MS 38654-1726
Other names (DBA / former)
- Doing business as
- Olive Grove Terrace
- Doing business as
- Olive Grove Terrace
- Doing business as
- Olive Grove Terrace Assisted Living
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.