Novak Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

NOVAK CARE LLC

Practice address

4158 Woodridge Dr
Hannibal, MO 63401-6248

Phone

(573) 719-7717

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Ryan J. NovakNPI 1477320190

Title

Ceo

Phone

(573) 719-7717

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ryan Joseph Novak

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hannibal, MO
  • NPI 1477320190

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1942077664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4158 WOODRIDGE DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4158 WOODRIDGE DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016248",
            "telephone_number": "573-719-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAK CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-719-7717"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Missouri Imaging Associates, Inc.
• Northland Hearing Centers, Inc (Hearing Healthcare Associates)
• Northland Hearing Centers, Inc. (Northland Hearing Centers, Inc. dba Hearing Health Care Associates)
• Northport Optical, Inc.
• Kimberly L Norton, PTA
• Ryan Joseph Novak
• Kailee Ann O'Laughlin, LAT, ATC
• Bruno Chimerem Okoro, MD
• Theodore Oliver, LCSW
• Omeha House I LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.