MEDICARE: NOVA RECOVERY L.L.C.

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1376394528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVA RECOVERY L.L.C.

Provider Business Mailing Address
First Line	:	1209 E 22ND ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-2969
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1209 E 22ND ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-2969
Country	:	US
Telephone Number	:	612-807-5662
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LIBAN ABDI
Credential	:
Telephone Number	:	612-807-5662

Provider Enumeration Date	:	03/27/2024
Last Update Date	:	03/27/2024

Similar Medicare Providers

1104284488 — KATELIN ELIZABETH GRIFFIN PA-C
Practice Location Address:

715 S 8TH ST
MINNEAPOLIS, MN
55404-7530

Practice Phone: 612-873-6963
Practice Fax:

1689537615 — CHARISSA WORKMAN APRN
Practice Location Address:

2525 CHICAGO AVE
MINNEAPOLIS, MN
55404-4518

Practice Phone: 612-813-6000
Practice Fax:

1962354845 — JESSICA LYNN ERICKSON
Practice Location Address:

740 E 24TH ST
MINNEAPOLIS, MN
55404-3862

Practice Phone: 920-355-1253
Practice Fax:

1649222902 — MICHAEL VAUGHN EMERSON MD
Practice Location Address:

710 E 24TH ST STE 304
MINNEAPOLIS, MN
55404-3846

Practice Phone: 612-871-2292
Practice Fax: 952-460-5274

1770433211 — BETHANY RUTH LORD PENNA
Practice Location Address:

913 E 26TH ST STE 401
MINNEAPOLIS, MN
55404-4515

Practice Phone: 612-863-0200
Practice Fax:

1174103766 — KIRAN SHARMA MD
Practice Location Address:

2105 MINNEHAHA AVE
MINNEAPOLIS, MN
55404-3107

Practice Phone: 651-659-2900
Practice Fax:

Directions to “NOVA RECOVERY L.L.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.