Provider Demographics
NPI:1720752967
Name:NOVA HOME CARE LLC
Entity Type:Organization
Organization Name:NOVA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:E
Authorized Official - Last Name:EMENIKE-OGBORU
Authorized Official - Suffix:
Authorized Official - Credentials:DNP FNP-C
Authorized Official - Phone:614-599-3900
Mailing Address - Street 1:29127 GARDEN RIVER CT
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-1778
Mailing Address - Country:US
Mailing Address - Phone:614-599-3900
Mailing Address - Fax:281-346-8625
Practice Address - Street 1:1001 S DAIRY ASHFORD RD STE 100-171
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2375
Practice Address - Country:US
Practice Address - Phone:614-599-3900
Practice Address - Fax:281-346-8625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health