Organization Active NPI

Nova Wellness Program, LLC

  • Community/Behavioral Health Agency
  • Aberdeen, MD
National Provider Identifier
1033786959
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NOVA WELLNESS PROGRAM, LLC
Practice address
780 W Bel Air Ave Ste C
Aberdeen, MD 21001-2236
Phone
(833) 337-6682
Fax
(410) 692-0143
NPI assigned
Jun 9, 2021
Last updated
Jun 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Nancy J Turner, RNNPI 1881082071
Title
Ceo
Phone
(443) 504-3018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

780 W Bel Air Ave Ste C
Aberdeen, MD 21001-2236

Mailing address

2873 Troyer Rd
White Hall, MD 21161-9321
Phone (833) 337-6682

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1033786959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2873 TROYER RD",
            "city": "WHITE HALL",
            "state": "MD",
            "postal_code": "211619321",
            "telephone_number": "833-337-6682",
            "fax_number": "410-692-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 W BEL AIR AVE STE C",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012236",
            "telephone_number": "833-337-6682",
            "fax_number": "410-692-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA WELLNESS PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-504-3018",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.