Provider Demographics
NPI:1225895808
Name:NOVA PRIVATE HOMECARE LLC.
Entity Type:Organization
Organization Name:NOVA PRIVATE HOMECARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAVITRI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJKUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-482-9246
Mailing Address - Street 1:2250 SHADETREE CT
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-8629
Mailing Address - Country:US
Mailing Address - Phone:404-482-9246
Mailing Address - Fax:
Practice Address - Street 1:2250 SHADETREE CT
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8629
Practice Address - Country:US
Practice Address - Phone:404-482-9246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care