Nova Developmental Centers (Tom Polk House)

LBN: Gary Green
Nova Developmental Centers (Tom Polk House) is an health care organization with primary practice located at 65 Tom Polk Circle , Chico CA 95973. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Gary Green can be contacted via phone (530) 226-0375, or through Green, Gary via phone (530) 226-0375.

Contact Information

Primary practice address
65 Tom Polk Circle Chico CA 95973
Phone: (530) 226-0375
Fax: (530) 365-1609
Website:
Map and Directions
Authorized official contact:
Name: Green, Gary
Phone: (530) 226-0375

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 230000277 California

Profile Details

NPI number 1316911886
LBN Legal business name Gary Green
DBA Doing business as Nova Developmental Centers (Tom Polk House)
Authorized official Green, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 31st, 2008 - about 16 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 1316911886 NPPES
California MEDICAID LTC60788F

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