NPIMap

Organization Active NPI

Nova Theraputic Community, Inc

  • Children's Substance Abuse Rehabilitation Facility
  • Omaha, NE
National Provider Identifier
1457599086
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
NOVA THERAPUTIC COMMUNITY, INC
Practice address
3483 Larimore Ave
Omaha, NE 68111-2383
Phone
(402) 455-8303
Fax
(402) 455-7050
NPI assigned
Feb 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Mrs. Eleanor Devlin, LMHP
Title
Executive Director
Phone
(402) 455-8303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X NE Primary

Addresses

Primary practice location

3483 Larimore Ave
Omaha, NE 68111-2383

Mailing address

3483 Larimore Ave
Omaha, NE 68111-2383
Phone (402) 455-8303

National Provider Directory

National Provider Directory
Tax ID family
Nova Treatment Community Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

3483 Larimore Ave
Omaha, NE 68111
Phone (402) 201-7427

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1457599086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3483 LARIMORE AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681112383",
            "telephone_number": "402-455-8303",
            "fax_number": "402-455-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3483 LARIMORE AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681112383",
            "telephone_number": "402-455-8303",
            "fax_number": "402-455-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA THERAPUTIC COMMUNITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "DEVLIN",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-455-8303",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHP"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.