Organization Active NPI

Nova Health and Wellness Inc

  • Case Management Agency
  • Bellaire, TX
National Provider Identifier
1063085975
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
NOVA HEALTH AND WELLNESS INC
Practice address
6575 West Loop S Ste 500
Bellaire, TX 77401-3509
Phone
(832) 479-0212
Fax
(804) 225-0753
NPI assigned
Jul 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Khidhra Smith Poole, LCSWNPI 1437429677
Title
Ceo
Phone
(804) 551-7363

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
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

6575 West Loop S Ste 500
Bellaire, TX 77401-3509

Mailing address

6575 West Loop S Ste 500
Bellaire, TX 77401-3509
Phone (832) 479-0212

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.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1063085975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 WEST LOOP S STE 500",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013509",
            "telephone_number": "832-479-0212",
            "fax_number": "804-225-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 WEST LOOP S STE 500",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013509",
            "telephone_number": "832-479-0212",
            "fax_number": "804-225-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA HEALTH AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "KHIDHRA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-551-7363",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.