Provider Demographics
NPI:1548742158
Name:NOVAS NURSING SERVICE LC
Entity Type:Organization
Organization Name:NOVAS NURSING SERVICE LC
Other - Org Name:NOVAS NURSING SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WINFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-685-5497
Mailing Address - Street 1:3928A CASTLEMAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-3739
Mailing Address - Country:US
Mailing Address - Phone:314-685-5497
Mailing Address - Fax:
Practice Address - Street 1:4818 WASHINGTON BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-1829
Practice Address - Country:US
Practice Address - Phone:314-685-5497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health