Nova House Association, Inc.

LBN: Nova Behavioral Health, Inc.
Nova House Association, Inc. is an health care organization with primary practice located at 732 Beckman St , Dayton OH 45410-2165. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Nova Behavioral Health, Inc. can be contacted via phone (937) 253-1680, or through Goris, John W via phone (937) 253-1680.

Contact Information

Primary practice address
732 Beckman St Dayton OH 45410-2165
Phone: (937) 253-1680
Fax: (937) 253-8990
Website:
Map and Directions
Authorized official contact:
Name: Goris, John W MS, LSW, LPCC-SC
Phone: (937) 253-1680

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 10-2063 Ohio
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 1407 Ohio

Profile Details

NPI number 1164782017
LBN Legal business name Nova Behavioral Health, Inc.
DBA Doing business as Nova House Association, Inc.
Authorized official Goris, John W MS, LSW, LPCC-SC
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2012
Last updated May 25th, 2012 - about 13 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 1164782017 NPPES
Ohio MEDICAID 2942632

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