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NPI 1164252540

NPI 1164252540 : NOVA DMV NURSES AND CAREGIVERS LLC : BROADLANDS, VA

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General NPI Number Information
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    NPI Number           |    1164252540
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    Entity Type          |    Organization 
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    Legal Business Name  |    NOVA DMV NURSES AND CAREGIVERS LLC 
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Dates
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    Enumeration Date     |    08/01/2024
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    Last Update Date     |    10/21/2025
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Provider Practice Location Address
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    Address Line         |    42882 TRURO PARISH DR STE 206 
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    City                 |    BROADLANDS
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    State                |    VA
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    Zip                  |    20148-4458
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    Country              |    US
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    Telephone            |    571-267-0620
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    42882 TRURO PARISH DR STE 206 
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    City                 |    BROADLANDS
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    State                |    VA
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    Zip                  |    20148-4458
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    Country              |    US
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    Telephone            |    571-267-0620
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MRS. CYNTHIA  GETANEH 
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    Credential           |    RN, MSN, BSN
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    Telephone            |    571-267-0620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251T00000X
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    Taxonomy Name        |    PACE Provider Organization
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    374700000X
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    Taxonomy Name        |    Technician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    174200000X
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    Taxonomy Name        |    Meals Provider
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    385HR2065X
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    Taxonomy Name        |    Child Physical Disabilities Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    332U00000X
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    Taxonomy Name        |    Home Delivered Meals
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    372500000X
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    Taxonomy Name        |    Chore Provider
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    License Number       |    
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    License Number State |    
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Taxonomy #14
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    Taxonomy Code        |    385HR2060X
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    Taxonomy Name        |    Child Intellectual and/or Developmental Disabilities Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #15
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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