Organization Active NPI

Nova Center Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Grandview, MO
National Provider Identifier
1174778492
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
NOVA CENTER INC.
Practice address
12604 3Rd St
Grandview, MO 64030-1616
Phone
(816) 761-8614
Fax
(816) 765-0622
NPI assigned
Dec 1, 2008
Last updated
Dec 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Mr. Cary Logan Williams
Title
Ceo
Phone
(816) 761-8614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

12604 3Rd St
Grandview, MO 64030-1616

Mailing address

12604 3Rd St
Grandview, MO 64030-1616
Phone (816) 761-8614

National Provider Directory

National Provider Directory
Tax ID family
Nova Center Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1174778492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12604 3RD ST",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640301616",
            "telephone_number": "816-761-8614",
            "fax_number": "816-765-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12604 3RD ST",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640301616",
            "telephone_number": "816-761-8614",
            "fax_number": "816-765-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CARY",
        "authorized_official_middle_name": "LOGAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-761-8614",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandview, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.