<Unavail>

LBN: Nova Senior Services
<Unavail> is an health care organization with primary practice located at 20683 Mandalay Ct , Ashburn VA 20147-2836. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Nova Senior Services can be contacted via phone (571) 283-1328, or through Moore, Timothy F via phone (571) 283-1328.

Contact Information

Primary practice address
20683 Mandalay Ct Ashburn VA 20147-2836
Phone: (571) 283-1328
Fax: (571) 258-0112
Website:
Map and Directions
Authorized official contact:
Name: Moore, Timothy F
Phone: (571) 283-1328

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1376651588
LBN Legal business name Nova Senior Services
DBA Doing business as <Unavail>
Authorized official Moore, Timothy F
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2006
Last updated Nov 21st, 2008 - about 18 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 1376651588 NPPES
Virginia MEDICAID 010022649

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