Provider Demographics
NPI:1992364160
Name:NOVA LEAP HEALTH MA INC
Entity Type:Organization
Organization Name:NOVA LEAP HEALTH MA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIDLE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA, CA
Authorized Official - Phone:902-223-3865
Mailing Address - Street 1:415 BOSTON TURNPIKE
Mailing Address - Street 2:SUITE 308D
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545
Mailing Address - Country:US
Mailing Address - Phone:508-842-5576
Mailing Address - Fax:508-842-5575
Practice Address - Street 1:415 BOSTON TURNPIKE
Practice Address - Street 2:SUITE 308D
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545
Practice Address - Country:US
Practice Address - Phone:508-842-5576
Practice Address - Fax:508-842-5575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care