Nova Iii in Philadelphia - Community Based Residential Treatment Facility, Mental Illness
Nova Iii - NPI 1922139179
Nova Iii is a Community Based Residential Treatment Facility, Mental Illness in Philadelphia, Pennsylvania. Nova Iii practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Nova Iii is 1922139179. The last update date is 2015-10-05.
Nova Iii's current location address is 4700 Wissahickon Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2159510300. The mailing address for Nova Iii is 4700 Wissahickon Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nova Iii |
|---|---|
| Address | 4700 Wissahickon Ave, Philadelphia, Pennsylvania |
| Phone Number | 2159510300 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Roth M Dyann |
| Telephone Number | 2159510300 |
NPI Number Detail
| NPI Number | 1922139179 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2015-10-05 |
Provider Mailing Address Detail
| Address | 4700 Wissahickon Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191444248 |
| Phone Number | 2159510300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000017080494 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Nova Iii by the Centers for Medicare & Medicaid Services?
The Nova Iii has been assigned the NPI (National Provider Identifier) 1922139179 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Nova Iii?
The Nova Iii is situated at 4700 Wissahickon Ave, in the city of Philadelphia, state of PA, with the zip code 191444248.
What is Nova Iii's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nova Iii's specialized field of practice is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 320800000X.
When did Nova Iii receive its 1922139179 assignment?
The Nova Iii was assigned its 1922139179 on 2007-03-08, which is the date when this unique identifier was issued to the organization.
As of what date were the Nova Iii's details last updated?
The information pertaining to the Nova Iii, including its address, specialty, and other details, was most recently updated on 2015-10-05.