NOVA DEVELOPMENTAL CENTERS (TOM POLK HOUSE)
NPI 1316911886
Intermediate Care Facility, Intellectual Disabilities in Chico, CA

Active since February 14, 2006
65 TOM POLK CIRCLE, CHICO, CA 95973(530) 226-0375(530) 365-1609 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nova Developmental Centers (tom Polk House) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVA DEVELOPMENTAL CENTERS (TOM POLK HOUSE) (NPI 1316911886) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Chico, California and active in the NPI registry since February 2006. The organization lists Gary Green, Licensee/owner, as its authorized official.

NPPES Registry Identity

NPI1316911886
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameGARY GREEN
Location Address65 TOM POLK CIRCLEChico, CA 95973
Mailing AddressPo Box 492478Redding, CA 96049 · (530) 226-0375 · Fax (530) 365-1609
Fax(530) 365-1609
Organization SubpartNo
Authorized OfficialGary GreenLicensee/owner · (530) 226-0375
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJuly 31, 2008
NPI 1316911886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in CA · 230000277
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
65 TOM POLK CIRCLE, Chico, CA 95973

Other Names 1

Doing Business AsNova Developmental Centers (tom Polk House)

Other Identifiers 1

MedicaidLTC60788FCA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Green's NPI number?

The NPI number for Gary Green is 1316911886. It was assigned to this organization in the NPPES registry on February 14, 2006. The provider is doing business as Nova Developmental Centers (tom Polk House).

Where is Gary Green located?

Gary Green is located at 65 Tom Polk Circle, Chico, CA 95973. The listed phone number is (530) 226-0375.

What is Gary Green's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Gary Green was last updated on July 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.