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NOVA IC, INC.
NPI 1841439650
Intermediate Care Facility, Intellectual Disabilities in Mount Olive, NC

Active since February 18, 2009
135 DAUGHTRY FIELD ROAD, MOUNT OLIVE, NC 28365(919) 734-8803(919) 735-6825 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2025, Sep 30, 2024, Oct 25, 2022 and 3 more (6 updates tracked since 2015).

About Nova Ic, Inc. NPPES

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

NOVA IC, INC. (NPI 1841439650) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Mount Olive, North Carolina and active in the NPI registry since February 2009. The organization lists Tracey Pridgen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1841439650
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameNOVA IC, INC.
Location Address135 DAUGHTRY FIELD ROADMount Olive, NC 28365-7347
Mailing AddressPo Box 11077Goldsboro, NC 27532-1077 · (919) 734-8803 · Fax (919) 735-6825
Phone(919) 734-8803
Fax(919) 735-6825
Organization SubpartNo
Authorized OfficialTracey PridgenCfo · (919) 734-8803
Enumeration DateFebruary 18, 2009
Last NPPES UpdateOctober 8, 20256 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1841439650 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 NC · MHL-096-037
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
135 DAUGHTRY FIELD ROAD, Mount Olive, NC 28365
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Other Names 1

Other NameDaughtry Field Road Group Home

Other Identifiers 1

Medicaid340609RNC

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 Nova Ic, Inc.'s NPI number?

The NPI number for Nova Ic, Inc. is 1841439650. It was assigned to this organization in the NPPES registry on February 18, 2009. The provider is also known as Daughtry Field Road Group Home.

Where is Nova Ic, Inc. located?

Nova Ic, Inc. is located at 135 Daughtry Field Road, Mount Olive, NC 28365. The listed phone number is (919) 734-8803.

What is Nova Ic, Inc.'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 Nova Ic, Inc. was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.