Nova All Star, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NOVA ALL STAR, INC.

Doing business as

Nova All Star Care Home

Practice address

5525 Rose Thicket St
Las Vegas, NV 89130-1653

Phone

(702) 882-7736

Fax

(702) 633-8928

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Franklin FontillasNPI 1083343560

Title

President

Phone

(702) 882-7736

Specialties & licenses 1

Addresses

Other names 1

• Nova All Star Care Home Doing business as

Practitioners 1

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

• Franklin Fontillas

  • Adult Companion
  • Las Vegas, NV
  • NPI 1083343560
  NPD Authorized official

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1932839453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 ROSE THICKET ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891301653",
            "telephone_number": "702-882-7736",
            "fax_number": "702-633-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ROSE THICKET ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891301653",
            "telephone_number": "702-882-7736",
            "fax_number": "702-633-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA ALL STAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "FONTILLAS",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-882-7736"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova All Star Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Demetrius Mateo Nottingham
• Amal Jude Noureldine, DO
• Nourished Minds LLC
• Ashley Lynne Nourse
• Zari Noushadha
• Nova Clinic LLC
• Nova Health Associates, LLC (Nova Health)
• Nova Health Center LLC
• Nova Health Group PLLC
• Nova Healthcare Group LLC

• Assisted Living Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Assisted Living Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.