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General NPI Number Information
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NPI Number | 1891663852
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Entity Type | Organization
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Legal Business Name | NOVA HOMECARE SERVICES LLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 407 S CASWELL AVE
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City | COMPTON
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State | CA
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Zip | 90220-3301
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Country | US
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Telephone | 323-630-7477
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Fax |
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Provider Business Mailing Address
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Address Line | 111 E CARSON ST STE 8
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City | CARSON
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State | CA
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Zip | 90745-7728
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Country | US
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Telephone | 323-630-7477
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. STAR WONG-MONROE
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Credential |
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Telephone | 323-630-7477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 177F00000X
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Taxonomy Name | Lodging Provider
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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 | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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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 | 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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Taxonomy #5
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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