| Organization Name: | NOVA HOME HOSPICE INC |
| NPI Number: | 1538462148 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOSTAFA S RAHIMI (PRESIDENT) |
| Mailing Address: | 1551 W 13th St Suite 104 Upland |
| State: | CA US |
| Postal Code: | 917862900 |
| Phone Number: | 9099461213 |
| Fax Number: | |
| NPI Enumeration Date: | 12/21/2010 |
| NPI Last Update Date: | 12/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | A89780 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |