Organization Active NPI

Nova Intensive Care, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Stuart, FL
National Provider Identifier
1891452132
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
NOVA INTENSIVE CARE, LLC
Practice address
759 SW Federal Hwy Ste 215
Stuart, FL 34994-2972
Phone
(772) 212-5327
NPI assigned
Nov 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Mr. Rebecca L BoothNPI 1164304093
Title
Owner
Phone
(609) 713-5037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

759 SW Federal Hwy Ste 215
Stuart, FL 34994-2972

Mailing address

759 SW Federal Hwy Ste 215
Stuart, FL 34994-2972
Phone (772) 212-5327

National Provider Directory

National Provider Directory

Locations

759 SW Federal Hwy
Ste 215
Stuart, FL 34994
Phone (772) 212-5327

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1891452132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 SW FEDERAL HWY STE 215",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942972",
            "telephone_number": "772-212-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 SW FEDERAL HWY STE 215",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942972",
            "telephone_number": "772-212-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA INTENSIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-713-5037",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.