=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184544090
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NOVASALUD INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/20/2026
-----------------------------------------------------
Last Update Date | 07/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2946 SLEEPY HOLLOW RD STE 3C
-----------------------------------------------------
City | FALLS CHURCH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22044-2003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-533-1858
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2946 SLEEPY HOLLOW RD STE 3C
-----------------------------------------------------
City | FALLS CHURCH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22044-2003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-533-1858
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF OPERATIONS & FINANCE
-----------------------------------------------------
Name | ELLIN KAO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 703-389-7985
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QC1500X
-----------------------------------------------------
Taxonomy Name | Community Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------