Provider Demographics
NPI:1043644735
Name:NOVA N-HOME HEALTHCARE, INC
Entity Type:Organization
Organization Name:NOVA N-HOME HEALTHCARE, INC
Other - Org Name:HOME HELPERS OF STAFFORD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:TYRONE
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-602-7023
Mailing Address - Street 1:2063 JEFFERSON DAVIS HWY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-7291
Mailing Address - Country:US
Mailing Address - Phone:540-602-7023
Mailing Address - Fax:540-602-7908
Practice Address - Street 1:2063 JEFFERSON DAVIS HWY
Practice Address - Street 2:SUITE 5
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7291
Practice Address - Country:US
Practice Address - Phone:540-602-7023
Practice Address - Fax:540-602-7908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care