NPI age
3 years
Enumerated 2023-02-17
● Active Type 2 · Organization
The Nova Residence Inc
The Nova Residence Inc is 1 of 8 lodging organizations in Idaho.
Primary specialty
Lodging
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Agustin
Secretary
Last NPPES update
2023-02-17
Source: monthly bulk 2026-05
How this organization compares
Across 8 active lodging providers in Idaho.
NPI age
3 years
↑ 2 yr above median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-02Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
527 Jefferson St
Twin Falls, ID 833013822
Mailing address
148 Blue Lakes Blvd N # 193
Twin Falls, ID 833015235
Additional practice locations
1 secondary location on file with NPPES.
Location 2
440 Martin St
Twin Falls, ID 833014546
Authorized official
Jennifer Agustin
Secretary
📞 4088067409
Specialties
-
Lodging PrimaryA public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Practice context
Multi-site organization. 1 additional practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.