# NOVACARE CONNECT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Juicy Samurai Med Spa and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992671135
- **Authorized official:** ZEKIELA RILEY RN (OWNER)
- **Authorized official phone:** (940) 300-4858

## Contact information

- **Practice address:** 209 S SHADY SHORES DR STE 300-2004, LAKE DALLAS, TX 75065-2973
- **Practice address phone:** (940) 300-4858
- **Mailing address:** 209 S SHADY SHORES DR STE 300-2004, LAKE DALLAS, TX 75065-2973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 163WN1003X | Nutrition Support Registered Nurse | — | NULL | — |
| 163WN1003X | Nutrition Support Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2025
- **Last updated:** 10/22/2025