Provider Demographics
NPI:1851920425
Name:NOVA HEALTH GROUP LLC
Entity Type:Organization
Organization Name:NOVA HEALTH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINO
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:CHEPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-579-1707
Mailing Address - Street 1:14050 SW 84TH ST STE 204
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4440
Mailing Address - Country:US
Mailing Address - Phone:614-579-1707
Mailing Address - Fax:305-602-9816
Practice Address - Street 1:14050 SW 84TH ST STE 204
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4440
Practice Address - Country:US
Practice Address - Phone:614-579-1707
Practice Address - Fax:305-602-9816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-06
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management