Healthcare Provider Details

I. General information

NPI: 1477443695
Provider Name (Legal Business Name): NOVA HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6607 18TH AVE S STE 204
RICHFIELD MN
55423-2784
US

IV. Provider business mailing address

6607 18TH AVE S STE 204
RICHFIELD MN
55423-2784
US

V. Phone/Fax

Practice location:
  • Phone: 612-459-4040
  • Fax:
Mailing address:
  • Phone: 612-459-4040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SULEMAN ABDULKADIR ABDULLAH
Title or Position: OWNER
Credential:
Phone: 612-459-4040