Organization Active NPI

Nova Premiym Care LLC

  • In Home Supportive Care Agency
  • Oakton, VA
National Provider Identifier
1538862164
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NOVA PREMIYM CARE LLC
Practice address
10696 Oakton Ridge CT
Oakton, VA 22124-1642
Phone
(571) 213-7321
NPI assigned
Mar 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Mark Sherwin
Title
Owner/President
Phone
(571) 213-7321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10696 Oakton Ridge CT
Oakton, VA 22124-1642

Mailing address

10696 Oakton Ridge CT
Oakton, VA 22124-1642
Phone (571) 213-7321

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1538862164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10696 OAKTON RIDGE CT",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241642",
            "telephone_number": "571-213-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10696 OAKTON RIDGE CT",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241642",
            "telephone_number": "571-213-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PREMIYM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "SHERWIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "571-213-7321"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.