Healthcare Provider Details

I. General information

NPI: 1033986971
Provider Name (Legal Business Name): COVA COMMUNITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2023
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 GARDEN TREE RD
CHESAPEAKE VA
23322-7640
US

IV. Provider business mailing address

908 GARDEN TREE RD
CHESAPEAKE VA
23322-7640
US

V. Phone/Fax

Practice location:
  • Phone: 757-513-4934
  • Fax:
Mailing address:
  • Phone: 757-513-4934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TERRIA GALVEZ
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 757-513-4934