Nova Ic, Inc.
NPI 1669611471 · Intellectual Disabilities Intermediate Care Facility · Lagrange, NC
Nova Ic, Inc. is a Intellectual Disabilities Intermediate Care Facility organization in Lagrange, NC (NPI 1669611471).
Provider details
- NPI number
- 1669611471
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tracey Pridgen, Cfo(919) 734-8803
- License
- MHL-054-038 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Other names (DBA / former)
- Other name
- Washington Street East Group Home
- Other name
- Washington Street East Group Home
Registry dates
- Enumerated
- 2009-02-18
- Last updated
- 2025-10-08
- Certified
- 2025-10-08
Frequently asked questions
- What is Nova Ic, Inc.'s NPI number?
- Nova Ic, Inc.'s National Provider Identifier (NPI) is 1669611471, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nova Ic, Inc.?
- Nova Ic, Inc. is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Nova Ic, Inc. located?
- Nova Ic, Inc.'s practice location on file with NPPES is 407 W. Washington Street, Lagrange, NC 28551-1623.
- What is Nova Ic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Nova Ic, Inc. is (919) 734-8803.
- Who is the authorized official for Nova Ic, Inc.?
- The authorized official listed on Nova Ic, Inc.'s NPPES record is Tracey Pridgen, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nova Ic, Inc.'s NPI active?
- Yes — Nova Ic, Inc.'s NPI (1669611471) is active in the NPPES registry as of the last update on 2025-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.