Nova One Home Healthcare Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NOVA ONE HOME HEALTHCARE CORPORATION

Practice address

1440 N Harbor Blvd Ste 924a
Fullerton, CA 92835-4127

Phone

(714) 770-0152

NPI assigned

Feb 22, 2021

Organization subpart

No

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

Authorized official

Name

Marck Anton Tamayo

Title

Compliance Officer

Phone

(714) 829-8903

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1891389755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 924A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354127",
            "telephone_number": "714-770-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 924A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354127",
            "telephone_number": "714-770-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA ONE HOME HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "TAMAYO",
        "authorized_official_first_name": "MARCK ANTON",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "714-829-8903"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Oc ENT Properties LLC
• Northern Orange County ENT Medical Corp
• Nickolas E Nottebrock
• Elanood Nour
• Marwa Nouristani
• Nova One Hospice Care Corporation
• Mayra Quenna Castrejon Noveron
• Novo Behaviorial Services
• Traci Nsaif
• Sutera Nudtavuthtisit, DOCTOR OF OPTOMETRY

• Home Health Agency in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.