Provider Demographics
NPI:1689270811
Name:NEW NOVA HOME CARE LLC
Entity Type:Organization
Organization Name:NEW NOVA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VP/ALT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FATIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEHELIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:202-826-6324
Mailing Address - Street 1:13975 CONNECTICUT AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:ASPEN HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2900
Mailing Address - Country:US
Mailing Address - Phone:800-554-3806
Mailing Address - Fax:800-554-3806
Practice Address - Street 1:13975 CONNECTICUT AVE STE 250
Practice Address - Street 2:
Practice Address - City:ASPEN HILL
Practice Address - State:MD
Practice Address - Zip Code:20906-2900
Practice Address - Country:US
Practice Address - Phone:844-554-3806
Practice Address - Fax:800-554-3806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care