Nova Iii

LBN: Nova Iii
Nova Iii is an health care organization with primary practice located at 1101 W. Spencer St Suite 406, Philadelphia PA 19141-3239. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Agencies / Community/Behavioral Health is the primary health care specialty. Nova Iii can be contacted via phone (215) 951-0300, or through Roth, Dyann M via phone (215) 951-0300.

Contact Information

Primary practice address
1101 W. Spencer St Suite 406 Philadelphia PA 19141-3239
Phone: (215) 951-0300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roth, Dyann M
Phone: (215) 951-0300

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X Pennsylvania
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Pennsylvania
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Pennsylvania

Profile Details

NPI number 1922139179
LBN Legal business name Nova Iii
DBA Doing business as
Authorized official Roth, Dyann M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Oct 5th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922139179 NPPES
Pennsylvania MEDICAID 1000017080494

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