Provider Demographics
NPI:1477114684
Name:NOVA NURSING AND INFUSION SERVICES, LLC
Entity Type:Organization
Organization Name:NOVA NURSING AND INFUSION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, FNP-C
Authorized Official - Phone:407-780-4074
Mailing Address - Street 1:3501 W VINE ST
Mailing Address - Street 2:STE 338
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4649
Mailing Address - Country:US
Mailing Address - Phone:407-483-7300
Mailing Address - Fax:407-604-6927
Practice Address - Street 1:3501 W VINE ST STE 338
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4649
Practice Address - Country:US
Practice Address - Phone:407-780-4074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-27
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care