OrganizationActive
Nova Care Center LLC
NPI 1174240204 · Early Intervention Provider Agency · Eden Prairie, MN
Nova Care Center LLC is a Early Intervention Provider Agency organization in Eden Prairie, MN (NPI 1174240204).
Provider details
- NPI number
- 1174240204
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Parent organization
- Nova Care Center LLC
- Organization subpart
- Yes
- Authorized official
- Ayan Mahamud, Executive Director(612) 964-0142
Specialties & taxonomies
Agencies
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8673 Columbine Rd
Eden Prairie, MN 55344-7668
Phone: (612) 964-0142
Street-level locationGet directions
Mailing address
8673 Columbine Rd
Eden Prairie, MN 55344-7668
Registry dates
- Enumerated
- 2022-10-19
- Last updated
- 2023-04-29
- Certified
- 2023-04-29
Frequently asked questions
- What is Nova Care Center LLC's NPI number?
- Nova Care Center LLC's National Provider Identifier (NPI) is 1174240204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nova Care Center LLC?
- Nova Care Center LLC is classified in the NPPES registry as Early Intervention Provider Agency (Agencies).
- Where is Nova Care Center LLC located?
- Nova Care Center LLC's practice location on file with NPPES is 8673 Columbine Rd, Eden Prairie, MN 55344-7668.
- What is Nova Care Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Nova Care Center LLC is (612) 964-0142.
- Who is the authorized official for Nova Care Center LLC?
- The authorized official listed on Nova Care Center LLC's NPPES record is Ayan Mahamud, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nova Care Center LLC's NPI active?
- Yes — Nova Care Center LLC's NPI (1174240204) is active in the NPPES registry as of the last update on 2023-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.