Nova Care Home Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NOVA CARE HOME HEALTH SERVICES INC

Practice address

1210 Central Blvd
Suite 112
Brentwood, CA 94513-2242

Phone

(510) 677-1833

Fax

(925) 679-3048

NPI assigned

Jan 10, 2012

Organization subpart

No

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

Authorized official

Name

Dolly Thomas

Title

Administrator

Phone

(510) 677-1833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059470

Legal name

NOVA CARE HOME HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 31, 2013

Last certification

Nov 15, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 5, 2011 in CA

Enrollment address

1210 Central Blvd 112
Brentwood, CA 94513-2360

Listed as

Nova Health Care at HomeCCN 059470

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Jan 31, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1477823243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 CENTRAL BLVD",
            "address_2": "SUITE 112",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132242",
            "telephone_number": "510-677-1833",
            "fax_number": "925-679-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 CENTRAL BLVD",
            "address_2": "SUITE 112",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132242",
            "telephone_number": "510-677-1833",
            "fax_number": "925-679-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA CARE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DOLLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-677-1833"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vina Nguyen, PA-C
• Nice Home Health Agency
• Sydney Nishida, MS
• Abigail Nonnarath
• Samantha Norick
• Susan C Novak-Nizami, RN
• Jaime Nunez, M.S.W.
• Tachyana Nunley
• Mercy Nyamangwanda
• John Nzewi

• Home Health Agency in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.