Active NPI
Nova Skilled Home Health, Inc.
- Home Health Agency
- Los Angeles, CA
National Provider Identifier
1154362093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001636
- Legal business name
- NOVA SKILLED HOME HEALTH, INC.
- Practice address
- 8111 Beverly Blvd
Suite 306
Los Angeles, CA 90048-4525 - Phone
- (323) 658-6232
- Fax
- (323) 658-6406
- NPI assigned
- Jun 10, 2006
- Last updated
- Sep 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Boris Maximov, MCS
- Title
- Cfo
- Phone
- (323) 658-6232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980001636 | CA | Primary |
Addresses
Primary practice location
8111 Beverly Blvd
Suite 306
Los Angeles, CA 90048-4525
Mailing address
8111 Beverly Blvd
Suite 306
Los Angeles, CA 90048-4525
Phone (323) 658-6232
National Provider Directory
National Provider DirectoryLocations
8111 Beverly Blvd
Ste 306
Los Angeles, CA 90048
Phone (323) 658-6232
8230 Beverly Blvd
Ste 24
Los Angeles, CA 90048
Phone (323) 658-6232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222041600000",
"number": "1154362093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8111 BEVERLY BLVD",
"address_2": "SUITE 306",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484525",
"telephone_number": "323-658-6232",
"fax_number": "323-658-6406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 BEVERLY BLVD",
"address_2": "SUITE 306",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484525",
"telephone_number": "323-658-6232",
"fax_number": "323-658-6406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA SKILLED HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2008-09-22",
"status": "A",
"authorized_official_last_name": "MAXIMOV",
"authorized_official_first_name": "BORIS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "323-658-6232",
"authorized_official_credential": "MCS"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980001636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.