Provider Demographics
NPI:1255841615
Name:NOVA HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:NOVA HOME HEALTH CARE, INC.
Other - Org Name:NOVA HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / ADMNISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HAMZA
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:JAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-766-1544
Mailing Address - Street 1:610 N HIGH SCHOOL RD STE B
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46214-3663
Mailing Address - Country:US
Mailing Address - Phone:415-766-1544
Mailing Address - Fax:
Practice Address - Street 1:610 N HIGH SCHOOL RD STE B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-3663
Practice Address - Country:US
Practice Address - Phone:415-766-1544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-11
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health