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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316911886 | NPPES |
California | MEDICAID | LTC60788F |
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