NOVA INC NPI 1932366895

NPI Information

  • NPI: 1932366895
  • Provider Name: NOVA INC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 393 NOVA ALBION WAY
    SAN RAFAEL, CA
    ZIP 94903
  • Phone: (415) 472-2373

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NPI Details

NOVA INC is an intermediate care facility mentally retarded in San Rafael, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. NOVA INC NPI is 1932366895. The provider is registered as an organization entity type.

The provider's business location address is:

393 NOVA ALBION WAY
SAN RAFAEL, CA
ZIP 94903-607
Phone: (415) 472-2373
Fax: (415) 472-5739

The provider's authorized official is Merlyn Teague .
The authorized official title is Director Of Admin/finacial and has the following contact phone number (415) 472-2373.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities0100408CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1LTC60509FMEDICAIDCALIFORNIA
26422425MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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