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

Nova Ic, Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1841439650

Nova Ic, Inc is an Intellectual Disabilities Intermediate Care Facility in Mount Olive, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

135 Daughtry Field Rd
Mount Olive, NC 28365-7347
Phone: (919) 734-8803
Fax: (919) 735-6825
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence MHL-096-037 (NC)

Record details

NPI number1841439650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracey Pridgen — Cfo · (919) 734-8803
Other names Daughtry Field Road Group Home; Daughtry Field Road Group Home
NPI enumeratedFebruary 18, 2009
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing addressPo Box 11077, Goldsboro, NC 27532-1077