MEDICARE: NOVIAN CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1104768779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVIAN CARE LLC

Provider Business Mailing Address
First Line	:	23790 POINT O WOODS CT
Second Line	:
City	:	SOUTH LYON
State	:	MI
Zip	:	48178-9069
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23790 POINT O WOODS CT
Second Line	:
City	:	SOUTH LYON
State	:	MI
Zip	:	48178-9069
Country	:	US
Telephone Number	:	734-585-4258
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	LEANG MEY TAO
Credential	:
Telephone Number	:	734-585-4258

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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