Organization Active NPI

Nova Skilled Home Health, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1154362093
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001636 Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.