Healthcare Provider Details

I. General information

NPI: 1124922323
Provider Name (Legal Business Name): NOVA COMMUNITY HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6656 FILBERT AVE
ORANGEVALE CA
95662-3551
US

IV. Provider business mailing address

6656 FILBERT AVE
ORANGEVALE CA
95662-3551
US

V. Phone/Fax

Practice location:
  • Phone: 916-289-9196
  • Fax:
Mailing address:
  • Phone: 916-289-9196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: OLENA POINDEXTER
Title or Position: PRESIDENT
Credential: FNP
Phone: 347-419-3424