Provider Demographics
NPI:1629231303
Name:NOVA HOME CARE LLC
Entity Type:Organization
Organization Name:NOVA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:CARTER-NJINJOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-447-1020
Mailing Address - Street 1:20020 ASHBURN COMMONS PLAZA
Mailing Address - Street 2:114
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147
Mailing Address - Country:US
Mailing Address - Phone:703-574-2913
Mailing Address - Fax:
Practice Address - Street 1:20020 ASHBROOK COMMONS PLZ
Practice Address - Street 2:114
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5032
Practice Address - Country:US
Practice Address - Phone:703-574-2913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAB810950251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health