Healthcare Provider Details

I. General information

NPI: 1053208892
Provider Name (Legal Business Name): NOVUS LIFECARE HOME HEALTH OF CLINTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1703 N SECOND ST
CLINTON MO
64735-1192
US

IV. Provider business mailing address

1703 N SECOND ST
CLINTON MO
64735-1192
US

V. Phone/Fax

Practice location:
  • Phone: 660-885-5088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANIL SINGH
Title or Position: CEO
Credential:
Phone: 913-523-3315