Provider Demographics
NPI:1982842746
Name:NOVA HOME CARE CO.
Entity Type:Organization
Organization Name:NOVA HOME CARE CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:V. MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERNOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-616-5639
Mailing Address - Street 1:9995 CLYDESDALE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2775
Mailing Address - Country:US
Mailing Address - Phone:513-616-5639
Mailing Address - Fax:888-778-0614
Practice Address - Street 1:10921 REED HARTMAN HWY STE 234
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-2850
Practice Address - Country:US
Practice Address - Phone:513-655-5022
Practice Address - Fax:888-778-0614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3116836Medicaid