Provider Demographics
NPI:1306551650
Name:NOVA HOME HEALTH LLC
Entity type:Organization
Organization Name:NOVA HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVIT
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARGARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-307-3675
Mailing Address - Street 1:225 E BROADWAY STE 302
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1008
Mailing Address - Country:US
Mailing Address - Phone:818-307-3675
Mailing Address - Fax:
Practice Address - Street 1:4000 HOLLYWOOD BLVD STE 555SOUTH
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6751
Practice Address - Country:US
Practice Address - Phone:818-307-3675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care