Provider Demographics
NPI:1356605430
Name:NOVA HOMEHEALTH, INC.
Entity type:Organization
Organization Name:NOVA HOMEHEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:I
Authorized Official - Last Name:CAMBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-981-0100
Mailing Address - Street 1:1551 W 13TH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-2900
Mailing Address - Country:US
Mailing Address - Phone:909-981-0100
Mailing Address - Fax:909-981-8112
Practice Address - Street 1:1551 W 13TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-2900
Practice Address - Country:US
Practice Address - Phone:909-981-0100
Practice Address - Fax:909-981-8112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000807251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health