Organization Active NPI

Nova Senior Services

  • Customized Equipment (DME)
  • Ashburn, VA
National Provider Identifier
1376651588
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
NOVA SENIOR SERVICES
Doing business as
ResponseLink of Northrn Virginia
Practice address
20683 Mandalay CT
Ashburn, VA 20147-2836
Phone
(571) 283-1328
Fax
(571) 258-0112
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Timothy F Moore
Title
President
Phone
(571) 283-1328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

20683 Mandalay CT
Ashburn, VA 20147-2836

Mailing address

PO Box 1700
Leesburg, VA 20177-1700
Phone (571) 283-1328

Other identifiers 1

IdentifierTypeStateIssuer
010022649MedicaidVA

Other names 1

  • ResponseLink of Northrn Virginia Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1376651588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1700",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201771700",
            "telephone_number": "571-283-1328",
            "fax_number": "571-258-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20683 MANDALAY CT",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201472836",
            "telephone_number": "571-283-1328",
            "fax_number": "571-258-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-283-1328"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010022649",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ResponseLink of Northrn Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.