Healthcare Provider Details

I. General information

NPI: 1306551650
Provider Name (Legal Business Name): NOVA HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2023
Last Update Date: 01/20/2023
Certification Date: 01/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 HOLLYWOOD BLVD STE 555SOUTH
HOLLYWOOD FL
33021-6751
US

IV. Provider business mailing address

225 E BROADWAY STE 302
GLENDALE CA
91205-1008
US

V. Phone/Fax

Practice location:
  • Phone: 818-307-3675
  • Fax:
Mailing address:
  • Phone: 818-307-3675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVIT ZARGARYAN
Title or Position: COUNSEL
Credential:
Phone: 818-307-3675