# NOVA LIFECARE LLC DBA EVERGROVE HOME CARE

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

## Provider details

- **NPI number:** 1477486165
- **Authorized official:** CARLO GREGORIO MARFORI (OWNER/PRESIDENT)
- **Authorized official phone:** (703) 477-2632

## Contact information

- **Practice address:** 5570 JAMES YOUNG WAY, FAIRFAX, VA 22032-3284
- **Practice address phone:** (703) 477-2632
- **Mailing address:** 5570 JAMES YOUNG WAY, FAIRFAX, VA 22032-3284

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2026
- **Last updated:** 06/04/2026
