Provider Demographics
NPI:1275950040
Name:NOVA HOME CARE CO.
Entity Type:Organization
Organization Name:NOVA HOME CARE CO.
Other - Org Name:ALUX TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VYACHESLAV
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CHERNOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-616-5639
Mailing Address - Street 1:9995 CLYDESDALE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2775
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10921 REED HARTMAN HWY STE 234
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-2850
Practice Address - Country:US
Practice Address - Phone:513-616-5639
Practice Address - Fax:888-778-0614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH315975343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1982842746OtherHTTPS://NPPES.CMS.HHS.GOV