Nova Home Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

IL1011323 Issued in IL

Legal business name

NOVA HOME HEALTHCARE, INC.

Practice address

6900 Main Street
Suite#: 161
Downers Grove, IL 60516

Phone

(630) 964-1222

Fax

(630) 964-6440

NPI assigned

Mar 31, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sultan Surti, MPH

Title

President

Phone

(630) 964-1222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148263

Legal name

NOVA HOME HEALTHCARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 29, 2011

Last certification

Jul 29, 2011

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 21, 2010 in IL

Enrollment address

6900 Main Street
Suite 161
Downers Grove, IL 60516-3456

Listed as

Nova Home Healthcare, IncCCN 148263

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Jul 29, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Bilquis Mohammed, FNP

  • Family Nurse Practitioner
  • Schaumburg, IL
  • NPI 1801148580

  Home health agency

  Care Compare affiliation
• Mahrukh Subhani, M.D.

  • Internal Medicine Physician
  • Bloomingdale, IL
  • NPI 1841369279

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1568787703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 MAIN STREET",
            "address_2": "161",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60516",
            "telephone_number": "630-964-1222",
            "fax_number": "630-541-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 MAIN STREET",
            "address_2": "SUITE#: 161",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60516",
            "telephone_number": "630-964-1222",
            "fax_number": "630-964-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "SURTI",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-964-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "IL1011323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North American Emergency Medical Center,Inc
• Northern Illinois Foot & Ankle Specialists, LTD
• Northwest Medical Lab Inc
• Jordan Norwood
• Nourish Healthcare
• Andrew Francis Nowak, P.T.,D.P.T.
• John Charles Nowak, MD
• Nugent and Sack DDS
• Brian R Nugent, D.D.S.
• Swetha S Nukala, MD

• Home Health Agency in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.