Provider Demographics
NPI:1245721307
Name:NOVA SENIOR HOME CARE INC.
Entity type:Organization
Organization Name:NOVA SENIOR HOME CARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEEPA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEWALRAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-899-4422
Mailing Address - Street 1:3769 VERNACCHIA DR
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-3269
Mailing Address - Country:US
Mailing Address - Phone:703-899-4422
Mailing Address - Fax:
Practice Address - Street 1:14301 SULLYFIELD CIR STE 202
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-1630
Practice Address - Country:US
Practice Address - Phone:703-899-4422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-24
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care