Nova Care Wellness

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NOVA CARE WELLNESS

Doing business as

Life Tree Center

Practice address

11240 Waples Mill Rd Ste 201
Fairfax, VA 22030-6078

Phone

(347) 668-5413

NPI assigned

Apr 22, 2026

Organization subpart

No

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

Authorized official

Name

Joon Kim

Title

Administrator

Phone

(347) 668-5413

Specialties & licenses 1

Addresses

Other names 1

• Life Tree Center Doing business as

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1861337172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 WAPLES MILL RD STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306078",
            "telephone_number": "347-668-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 WAPLES MILL RD STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306078",
            "telephone_number": "347-668-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA CARE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "347-668-5413"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Tree Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Norvinia Health PC
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• Nova Anesthesia
• Nova Birth Partners, LLC
• Nova Center for Dental Sleep Treatment PLLC
• Nova Children's General Anesthesia Dentistry, PLLC
• Nova Children's Surgery Center, LLC
• Nova Concierge Medicine & Aesthetics
• Nova Diagnostics 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 22, 2026; 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.