Nova Home Health Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NOVA HOME HEALTH CARE LLC

Practice address

1865 Old Hudson Rd Ste B14
Saint Paul, MN 55119-4308

Phone

(763) 458-5953

Fax

(651) 560-7816

NPI assigned

Jun 22, 2023

Organization subpart

No

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

Authorized official

Name

Denise Taylor

Title

Owner

Phone

(763) 458-5953

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1194401521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 SUBURBAN AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551066425",
            "telephone_number": "763-458-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 OLD HUDSON RD STE B14",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194308",
            "telephone_number": "763-458-5953",
            "fax_number": "651-560-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-458-5953"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@novahomecaremn.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1865 Old Hudson Rd Ste B14",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551194308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Tom F Novacheck, MD

• In Home Supportive Care Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.