Healthcare Provider Details

I. General information

NPI: 1720997596
Provider Name (Legal Business Name): NOVA HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 LINDEN DR APT 3115
DENTON TX
76201-2585
US

IV. Provider business mailing address

2400 LINDEN DR APT 3115
DENTON TX
76201-2585
US

V. Phone/Fax

Practice location:
  • Phone: 945-398-4982
  • Fax:
Mailing address:
  • Phone: 945-398-4982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: GLORIA D SIANGU
Title or Position: ADMINISTRATOR
Credential:
Phone: 469-614-4564