Provider Demographics
NPI:1295600310
Name:NOVAPATH HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:NOVAPATH HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BOLANLE
Authorized Official - Middle Name:OLUWATOYIN
Authorized Official - Last Name:JOHN-WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-553-7004
Mailing Address - Street 1:110 W RANDOL MILL RD STE 230
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-4731
Mailing Address - Country:US
Mailing Address - Phone:214-427-8136
Mailing Address - Fax:
Practice Address - Street 1:2374 NEFF LN
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:TX
Practice Address - Zip Code:75126-3336
Practice Address - Country:US
Practice Address - Phone:214-427-6786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based