Provider Demographics
NPI:1225590227
Name:NOVA HOME CARE CONNECTION, LLC
Entity type:Organization
Organization Name:NOVA HOME CARE CONNECTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMINA
Authorized Official - Middle Name:N
Authorized Official - Last Name:ADAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-429-0392
Mailing Address - Street 1:14170 MINNIEVILLE RD # 103
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-2313
Mailing Address - Country:US
Mailing Address - Phone:703-429-0392
Mailing Address - Fax:703-429-0631
Practice Address - Street 1:14170 MINNIEVILLE RD # 103
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-2313
Practice Address - Country:US
Practice Address - Phone:703-429-0392
Practice Address - Fax:703-429-0631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-01
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health