Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anova's Skilled Nursing and Home Health Services

Organization Registered Nurse · NPI 1558076547

Anova's Skilled Nursing and Home Health Services is a Registered Nurse in Fayetteville, Georgia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
13
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Practice location Address checks out

301 E Lake Dr
Fayetteville, GA 30214-3207
Phone: (314) 445-7045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X
Meals Provider Taxonomy 174200000X
Home Health Agency Taxonomy 251E00000X
Home Infusion Agency Taxonomy 251F00000X
Nursing Care Agency Taxonomy 251J00000X
Early Intervention Provider Agency Taxonomy 252Y00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Health Service Clinic/Center Taxonomy 261QH0100X
Infusion Therapy Clinic/Center Taxonomy 261QI0500X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Skilled Nursing Facility Taxonomy 314000000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1558076547
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamiko Moore — Business Owner/Employee · (314) 445-7045
NPI enumeratedJanuary 16, 2023
Last updated in NPPESJanuary 16, 2023
Certification dateJanuary 13, 2023
Mailing address301 E Lake Dr, Fayetteville, GA 30214-3207

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