MEDICARE: NOVUS HOME HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1417888058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVUS HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	1011 OASIS ISLAND DR APT 7112
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-3437
Country	:	US
Telephone Number	:	607-684-4207
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 OASIS ISLAND DR APT 7112
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-3437
Country	:	US
Telephone Number	:	607-684-4207
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JEREMY CHRISTIAN
Credential	:
Telephone Number	:	607-684-4207

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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