Provider Demographics
NPI:1942528260
Name:ALL NOVA HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ALL NOVA HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:HAMMAD
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-772-7210
Mailing Address - Street 1:9302 OLD KEENE MILL RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-4278
Mailing Address - Country:US
Mailing Address - Phone:703-772-7210
Mailing Address - Fax:
Practice Address - Street 1:9302 OLD KEENE MILL RD
Practice Address - Street 2:SUITE A
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-4278
Practice Address - Country:US
Practice Address - Phone:703-772-7210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health