NOVA CARE MULTICLINIC LLC – NPI #1174211007
Clinic/Center

NOVA CARE MULTICLINIC LLC is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1174211007 to NOVA CARE MULTICLINIC LLC on April 27, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NOVA CARE MULTICLINIC LLC below.

NPI Profile for
NOVA CARE MULTICLINIC LLC

NPI Number
1174211007
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NOVA CARE MULTICLINIC LLC
Primary location
1717 W NORTHERN AVE STE 200
PHOENIX, AZ 85021-5478
Phone: (623) 703-9840 Fax:
Mailing address
1717 W NORTHERN AVE STE 204D
PHOENIX, AZ 85021-5471
Phone: (623) 703-9840 Fax:
Organization Subpart
No
Authorized Official
VIASHEN MOODLEY
ADMINISTRATOR
Phone: (623) 703-9840
Updated
Certification Date
Apr 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)
405300000X
- Prevention Professional
208D00000X
- General Practice
207R00000X
- Internal Medicine
207QA0505X
- Family Medicine / Adult Medicine
207QA0401X
- Family Medicine / Addiction Medicine
207QA0000X
- Family Medicine / Adolescent Medicine
207Q00000X
- Family Medicine
174400000X
- Specialist
171M00000X
- Case Manager/Care Coordinator
106S00000X
- Behavior Technician
101YM0800X
- Counselor / Mental Health
101YA0400X
- Counselor / Addiction (Substance Use Disorder)
101Y00000X
- Counselor

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.