Organization Active NPI

Nova Wound Care LLC

  • Home Health Agency
  • North Olmsted, OH
National Provider Identifier
1003612276
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NOVA WOUND CARE LLC
Practice address
28867 Lorain Rd Ste 2
North Olmsted, OH 44070-4043
Phone
(833) 968-6327
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mitchell Wesley Aranez Litam
Title
Ceo
Phone
(440) 552-6385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

28867 Lorain Rd Ste 2
North Olmsted, OH 44070-4043

Mailing address

4503 Azalea LN
North Olmsted, OH 44070-2450
Phone (440) 552-6385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250502002730 OH Part B Supplier - Clinic/Group Practice 7416474432 Receives reassigned benefits from 2 practitioners
Practice locations: North Olmsted, OH

National Provider Directory

National Provider Directory

Locations

28867 Lorain Rd
Ste 2
North Olmsted, OH 44070
Phone (833) 968-6327

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1003612276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 AZALEA LN",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702450",
            "telephone_number": "440-552-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28867 LORAIN RD STE 2",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704043",
            "telephone_number": "833-968-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "LITAM",
        "authorized_official_first_name": "MITCHELL WESLEY",
        "authorized_official_middle_name": "ARANEZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-552-6385"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.