Provider Demographics
NPI:1366655516
Name:NAVA INCORPORATED
Entity Type:Organization
Organization Name:NAVA INCORPORATED
Other - Org Name:GRACE ADULT DAY HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MANOCHEHR
Authorized Official - Middle Name:
Authorized Official - Last Name:POURANSARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-731-8686
Mailing Address - Street 1:3010 OLCOTT ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-3207
Mailing Address - Country:US
Mailing Address - Phone:925-451-0335
Mailing Address - Fax:
Practice Address - Street 1:1197 E ARQUES AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-3904
Practice Address - Country:US
Practice Address - Phone:925-451-0335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA070000655261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care