NOVA THERAPUTIC COMMUNITY, INC (NPI# 1457599086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457599086 |
| Entity Type | Organization |
| Organization Name | NOVA THERAPUTIC COMMUNITY, INC |
| Practice Address |
3483 Larimore Ave Omaha NE 68111-2383 |
| Practice Telephone | 4024558303 |
| Practice Fax Number | 4024557050 |
| Mailing Telephone | 4024558303 |
| Mailing Fax Number | 4024557050 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |
| Authorized Official Name | MRS. ELEANOR DEVLIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4024558303 |
| Authorized Official Credential | LMHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
NE | Residential Treatment Facilities |
| Street Address |
3483 LARIMORE AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68111-2383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467690180 | Suzanne Ellen Nord | Counselor | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2009-02-03 |
| 1043518996 | Dianne Joan Lundy | Registered Nurse | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2011-03-02 |
| 1386941185 | Angelo D Melgoza | Substance Abuse Rehabilitation Facility | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2011-02-15 |
| 1952607681 | Terri Bullington | Counselor | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2011-01-27 |
| 1407152143 | Tobi Lynette Andrews | Counselor | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2011-01-27 |
| 1215232517 | Karen R Allington | Counselor | 3483 Larimore Ave, Omaha, NE 68111 | 2011-01-18 |
| 1477858900 | Aaron Joel Engelbart | Counselor | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2011-01-13 |
| 1245535798 | Teresa Susan Bunjer | Counselor | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2011-01-13 |
| 1396987467 | William Joseph Nelson | Counselor | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2009-04-03 |
| 1881833226 | Barry Douglas Coates Sr. | Counselor | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2009-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124501341 | Monique Visocky | Social Worker | 4110 N 36th St, Omaha, NE 68111 | 2018-09-13 |
| 1629529052 | Alexis Rae Mcgary | Speech-Language Pathologist | 4304 North 33rd Street, Omaha, NE 68111 | 2016-10-20 |
| 1811247299 | St Benedict The Moor Catholic Church | Social Worker | 2423 Grant St, Omaha, NE 68111 | 2012-09-13 |
| 1699926337 | Lizabeth A Post | Counselor | 4410 N 36th, Omaha, NE 68111 | 2008-09-30 |
| 1043639594 | Victoria Lynne Cassidy | Counselor | 4318 Fort St, Omaha, NE 68111 | 2014-04-14 |
| 1992926497 | Vincent E Kershaw | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2007-05-01 |
| 1215948591 | Jacqueline B Esch | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2006-08-11 |
| 1699784066 | Tracy R Harrison | Clinical Nurse Specialist | 2915 Grant Street, Omaha, NE 68111 | 2006-08-05 |
| 1396365458 | Shaun M Metoyer | Contractor | 6344 N 36th St, Omaha, NE 68111-1110 | 2020-04-19 |
| 1922464239 | Brooke Bertling | Speech-Language Pathologist | 3775 Curtis Ave, Omaha, NE 68111-1169 | 2016-01-04 |
| Find all providers in zip 68111 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245478197 | Catholic Charities of The Archdiocese of Omaha, Inc | Substance Abuse Rehabilitation Facility | 11111 M St, Omaha, NE 68137-2378 | 2009-01-30 |
Please comment or provide details below to improve the information on NOVA THERAPUTIC COMMUNITY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.