Provider Demographics
NPI:1831931047
Name:B. NOVA HOME CARE
Entity type:Organization
Organization Name:B. NOVA HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIARA
Authorized Official - Middle Name:S
Authorized Official - Last Name:DAVIS-SPRAGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-500-3989
Mailing Address - Street 1:PO BOX 34347
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19101-4347
Mailing Address - Country:US
Mailing Address - Phone:610-500-3989
Mailing Address - Fax:
Practice Address - Street 1:667 N UNION ST
Practice Address - Street 2:UNIT 1
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:800-418-5961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care