Nova Recovery L.L.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NOVA RECOVERY L.L.C.

Practice address

1209 E 22ND St
Minneapolis, MN 55404-2969

Phone

(612) 807-5662

NPI assigned

Mar 27, 2024

Organization subpart

No

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

Authorized official

Name

Liban Abdi

Title

Owner

Phone

(612) 807-5662

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1376394528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 E 22ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 E 22ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042969",
            "telephone_number": "612-807-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA RECOVERY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "LIBAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-807-5662"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibrahim Nour
• Nourishing Waves Nutrition PLLC
• Nova Health & Wellness Clinic LLC
• Nova Life Services
• Nova Mentis Arms LLC
• Gail Suzanne Novacheck, GNP
• Kaydi Novack, CNM
• Zachary Brown Novaczyk, MD
• Emily Novak Daehn, PTA
• Allison Novak, RD

• Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.