Healthcare Provider Details

I. General information

NPI: 1447734611
Provider Name (Legal Business Name): NOVA HOMECARE PLUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2018
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27600 CHAGRIN BLVD STE 360A
WOODMERE OH
44122-4439
US

IV. Provider business mailing address

27600 CHAGRIN BLVD STE 360A STE 360A
WOODMERE OH
44122-4439
US

V. Phone/Fax

Practice location:
  • Phone: 216-255-5389
  • Fax: 216-367-8617
Mailing address:
  • Phone: 216-255-5389
  • Fax: 216-367-8617

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: HUSSEIN A ABDIRAHMAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 216-230-7090