Nova Care

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

70012853 Issued in IL

Legal business name

NOVA CARE

Practice address

5405 S Harlem Ave
Chicago, IL 60638-2205

Phone

(773) 788-9374

Fax

(773) 788-9378

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Miss Tekela Rochelle Scott, MPT

Title

Clinical Supervisor

Phone

(773) 788-9374

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598833659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 S HARLEM AVE # 07",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382205",
            "telephone_number": "773-788-9374",
            "fax_number": "773-788-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 S HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382205",
            "telephone_number": "773-788-9374",
            "fax_number": "773-788-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TEKELA",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "773-788-9374",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IL",
            "license": "70012853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nourished Transitions PLLC
• Nourishing Hope
• Nourishing Hope
• Nourishment Works PC
• Nasim Nourmohammadi, D.O
• Nova Luna Behavior Health Services LLC
• Nova Occupational Therapy P.C
• Nova Pain Spinal Care LLC
• Nova Physician Group PLLC
• Fae Nova, MD, PHD, MS

• Point of Service in Chicago, IL
• Providers in Chicago, IL by specialty
• Point of Service in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.