Organization Active NPI

Nova Home Medical Care LLC

  • Adult Health Nurse Practitioner
  • Northbrook, IL
National Provider Identifier
1952656035
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
NOVA HOME MEDICAL CARE LLC
Practice address
47 Birchwood Rd
Northbrook, IL 60062-1244
Phone
(847) 975-1033
Fax
(888) 907-8030
NPI assigned
Jul 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Dr. Maria Derylo, DNP, MSN, APN-BCNPI 1316251176
Title
Administrator
Phone
(847) 571-3045

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

47 Birchwood Rd
Northbrook, IL 60062-1244

Mailing address

47 Birchwood Rd
Northbrook, IL 60062-1244
Phone (847) 975-1033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130114000444 IL Part B Supplier - Clinic/Group Practice 2668625005 Receives reassigned benefits from 1 practitioner
Practice locations: Northbrook, IL

National Provider Directory

National Provider Directory

Locations

4201 W 95th St
Oak Lawn, IL 60453
Phone (708) 636-1466

Practitioners & affiliated clinicians

Practitioners 1

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": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1952656035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 BIRCHWOOD RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621244",
            "telephone_number": "847-975-1033",
            "fax_number": "888-907-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 BIRCHWOOD RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621244",
            "telephone_number": "847-975-1033",
            "fax_number": "888-907-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA HOME MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "DERYLO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-571-3045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, MSN, APN-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.