MEDICARE: NOVELTY HEALTHCARE SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1285582981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVELTY HEALTHCARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	381 MULBERRY ROW SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30354-2875
Country	:	US
Telephone Number	:	404-806-6368
Fax Number	:

Provider Business Practice Location Address
First Line	:	381 MULBERRY ROW SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30354-2875
Country	:	US
Telephone Number	:	404-806-6368
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	OLANREWAJU AWE
Credential	:
Telephone Number	:	419-516-7717

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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