Provider Demographics
NPI:1912552019
Name:NUVO CARE
Entity Type:Organization
Organization Name:NUVO CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KERLANGE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:239-219-5534
Mailing Address - Street 1:402 WINDERMERE DR
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33972-1047
Mailing Address - Country:US
Mailing Address - Phone:239-219-5534
Mailing Address - Fax:
Practice Address - Street 1:402 WINDERMERE DR
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33972-1047
Practice Address - Country:US
Practice Address - Phone:239-219-5534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health