Nova Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NOVA HOME HEALTH CARE, LLC

Practice address

11240 Waples Mill Rd Ste 202
Fairfax, VA 22030-6078

Phone

(703) 831-1111

Fax

(703) 891-9493

NPI assigned

Jul 1, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Ali Awil Abdi

Title

Manager

Phone

(703) 831-1111

Specialties & licenses 1

Addresses

Listed as

Nova Home Health Care LLCCCN 497728

Ownership

Proprietary

Certified

Jun 13, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

Locations

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1669600367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 WAPLES MILL RD STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306078",
            "telephone_number": "703-831-1111",
            "fax_number": "703-891-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 WAPLES MILL RD STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306078",
            "telephone_number": "703-831-1111",
            "fax_number": "703-891-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "AWIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-831-1111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nova Diagnostics LLC
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• Nova Gonstead Chiropractic Clinic PLLC
• Nova Gynecology Associates LLC
• Nova Internal Medicine Associates PC
• Nova Lifecare LLC Dba Evergrove Home Care
• Nova Medical Transport LLC
• Nova Neurosciences LLC
• Nova Nurses Home Care Agency, LLC

• Home Health Agency in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.