Organization Active NPI

Nova Elderly Home Care

  • Point of Service
  • Alexandria, VA
National Provider Identifier
1720128440
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
HCO07376 Issued in VA
Legal business name
NOVA ELDERLY HOME CARE
Practice address
85 S Bragg St Ste 200E
Alexandria, VA 22312-2793
Phone
(703) 333-5086
Fax
(703) 333-5892
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Mr. Tewodros W Eyob
Title
Director
Phone
(703) 333-5086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X HCO07376 VA Primary

Addresses

Primary practice location

85 S Bragg St Ste 200E
Alexandria, VA 22312-2793

Mailing address

85 S Bragg St Ste 200E
Alexandria, VA 22312-2793
Phone (703) 333-5086

Other names 1

  • VISITING ANGELS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1720128440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST STE 200E",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122793",
            "telephone_number": "703-333-5086",
            "fax_number": "703-333-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST STE 200E",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122793",
            "telephone_number": "703-333-5086",
            "fax_number": "703-333-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA ELDERLY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "EYOB",
        "authorized_official_first_name": "TEWODROS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-333-5086",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "VA",
            "license": "HCO07376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISITING ANGELS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.