Organization Active NPI

Nova Life Services

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1346926870
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NOVA LIFE SERVICES
Practice address
912 E 24TH St Ste A142
Minneapolis, MN 55404-3874
Phone
(612) 701-4321
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Nasri Mohamed
Title
Founder
Phone
(612) 701-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

912 E 24TH St Ste A142
Minneapolis, MN 55404-3874

Mailing address

7321 12TH Ave S
Richfield, MN 55423-3344

National Provider Directory

National Provider Directory

Locations

912 E 24th St
Ste A142
Minneapolis, MN 55404
Phone (612) 701-4321

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1346926870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 12TH AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554233344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 E 24TH ST STE A142",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043874",
            "telephone_number": "612-701-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA LIFE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "NASRI",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "612-701-4321"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.