Nova Ic. Inc. in Goldsboro - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Nova Ic. Inc. - NPI 1063438695
Nova Ic. Inc. is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Goldsboro, North Carolina. Nova Ic. Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Nova Ic. Inc. is 1063438695. The last update date is 2023-09-29.
Nova Ic. Inc.'s current location address is Po Box 11077, Goldsboro, North Carolina. You can contact this provider via phone number 9197348803 and fax number 9197359643. The mailing address for Nova Ic. Inc. is Po Box 11077, Goldsboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nova Ic. Inc. |
|---|---|
| Address | Po Box 11077, Goldsboro, North Carolina |
| Phone Number | 9197348803 |
| Fax Number | 9197359643 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Pridgen Tracey |
| Credentials | CPA |
| Telephone Number | 9197348803 |
NPI Number Detail
| NPI Number | 1063438695 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2023-09-29 |
Provider Mailing Address Detail
| Address | Po Box 11077 |
|---|---|
| City | Goldsboro |
| State | North Carolina (NC) |
| Post Code | 275321077 |
| Phone Number | 9197348803 |
| Fax Number | 9197359643 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8300826B | NC | -- | |
| 8300822 | NC | -- | |
| 8300758B | NC | -- | |
| 6006439 | NC | -- | |
| 8300826 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Nova Ic. Inc. by the Centers for Medicare & Medicaid Services?
The Nova Ic. Inc. has been assigned the NPI (National Provider Identifier) 1063438695. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Nova Ic. Inc. is physically located?
The Nova Ic. Inc. is physically situated at the following address: Po Box 11077, Goldsboro, NC, 275321077.
What is Nova Ic. Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nova Ic. Inc.'s specialized field of practice is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063438695 to Nova Ic. Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1063438695 to Nova Ic. Inc. on 2006-07-15.
When was the information pertaining to Nova Ic. Inc. most recently updated or revised?
The details related to Nova Ic. Inc., including its address, specialty, and other relevant information, were last updated or revised on 2023-09-29.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN