Provider Demographics
NPI:1477823243
Name:NOVA CARE HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:NOVA CARE HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-677-1833
Mailing Address - Street 1:1210 CENTRAL BLVD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-2242
Mailing Address - Country:US
Mailing Address - Phone:510-677-1833
Mailing Address - Fax:925-679-3048
Practice Address - Street 1:1210 CENTRAL BLVD
Practice Address - Street 2:SUITE 112
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2242
Practice Address - Country:US
Practice Address - Phone:510-677-1833
Practice Address - Fax:925-679-3048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health