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Nova Ic, Inc.

Intellectual Disabilities Intermediate Care Facility in La Grange, NC · enumerated 2009 · authorized official Tracey Pridgen, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1447499330

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Registry record

Entity type Organization (Type 2)
Legal business name Nova Ic, Inc.
Other name <Unavail>
Practice address 405 W Washington St, La Grange, NC, 28551
Fax (919) 735-6825
Enumeration date Feb 17, 2009
Last updated in NPPES Oct 8, 2025

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License MHL-054-019 (NC) Primary

Authorized official

Name Tracey Pridgen
Title Cfo

Other identifiers

Identifier Type State Issuer
3406289 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Nova Ic, Inc.?
The NPI for Nova Ic, Inc. is 1447499330, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Nova Ic, Inc.?
NPPES lists Tracey Pridgen (Cfo) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-08.