# NOVA HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194401521
- **Authorized official:** DENISE TAYLOR (OWNER)
- **Authorized official phone:** (763) 458-5953

## Contact information

- **Practice address:** 1865 OLD HUDSON RD STE B14, SAINT PAUL, MN 55119-4308
- **Practice address phone:** (763) 458-5953
- **Practice address fax:** (651) 560-7816
- **Mailing address:** 1148 SUBURBAN AVE E, SAINT PAUL, MN 55106-6425
- **Mailing address phone:** (763) 458-5953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2023
- **Last updated:** 06/22/2023