AVITA NOVA
NPI 1780937235
Community/Behavioral Health in Lake Forest, CA

Q: What is Avita Nova's NPI number?

The NPI number for Avita Nova is 1780937235. It was assigned to this organization in the NPPES registry on October 22, 2012.

Q: What is Avita Nova's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Avita Nova was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 22, 2012

1202 BELLECOUR WAY, LAKE FOREST, CA 92630(949) 939-8032(949) 525-4759 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Avita Nova NPPES

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

AVITA NOVA (NPI 1780937235) is a healthcare organization registered as a community/behavioral health in Lake Forest, California and active in the NPI registry since October 2012. The organization lists Erica R. Holding, Owner, as its authorized official.

NPPES Registry Identity

NPI1780937235

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameAVITA NOVA

Location Address1202 BELLECOUR WAYLake Forest, CA 92630-7944

Mailing Address1202 Bellecour WayLake Forest, CA 92630-7944 · (949) 939-8032 · Fax (949) 525-4759

Phone(949) 939-8032

Fax(949) 525-4759

Organization SubpartNo

Authorized OfficialErica R. HoldingOwner · (949) 939-8032

Enumeration DateOctober 22, 2012

✔ NPI 1780937235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X

1202 BELLECOUR WAY, Lake Forest, CA 92630

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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 Avita Nova's NPI number?

The NPI number for Avita Nova is 1780937235. It was assigned to this organization in the NPPES registry on October 22, 2012.

Where is Avita Nova located?

Avita Nova is located at 1202 Bellecour Way, Lake Forest, CA 92630. The listed phone number is (949) 939-8032.

What is Avita Nova's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Avita Nova was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.