Provider Demographics
NPI:1033663299
Name:NOVEL COMMUNITY HEALTH SERVICES INC
Entity Type:Organization
Organization Name:NOVEL COMMUNITY HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IVERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMBE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:972-814-0045
Mailing Address - Street 1:7920 BELT LINE RD
Mailing Address - Street 2:SUITE 255
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-8145
Mailing Address - Country:US
Mailing Address - Phone:972-994-9395
Mailing Address - Fax:
Practice Address - Street 1:7920 BELT LINE RD
Practice Address - Street 2:SUITE 255
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-8145
Practice Address - Country:US
Practice Address - Phone:972-994-9395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-05
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health