Healthcare Provider Details

I. General information

NPI: 1104768779
Provider Name (Legal Business Name): NOVIAN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23790 POINT O WOODS CT
SOUTH LYON MI
48178-9069
US

IV. Provider business mailing address

23790 POINT O WOODS CT
SOUTH LYON MI
48178-9069
US

V. Phone/Fax

Practice location:
  • Phone: 734-585-4258
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LEANG MEY TAO
Title or Position: MANAGING MEMBER
Credential:
Phone: 734-585-4258