Healthcare Provider Details

I. General information

NPI: 1952215089
Provider Name (Legal Business Name): NOVAK HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3015 S HOLT RD
INDIANAPOLIS IN
46221-2254
US

IV. Provider business mailing address

3015 S HOLT RD
INDIANAPOLIS IN
46221-2254
US

V. Phone/Fax

Practice location:
  • Phone: 317-204-7600
  • Fax: 317-342-5130
Mailing address:
  • Phone: 317-204-7600
  • Fax: 317-342-5130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: AYEE BLEEMIE
Title or Position: OWNER
Credential:
Phone: 317-204-7600