Healthcare Provider Details

I. General information

NPI: 1811843766
Provider Name (Legal Business Name): BB NOVACARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1753 SHIPYARD RD
CHESAPEAKE VA
23323-5507
US

IV. Provider business mailing address

1753 SHIPYARD RD
CHESAPEAKE VA
23323-5507
US

V. Phone/Fax

Practice location:
  • Phone: 443-839-6761
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ASHU BECHEMNYOU
Title or Position: CEO
Credential:
Phone: 443-839-6761