Provider Demographics
NPI:1003429689
Name:NOBLE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:NOBLE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:EYONGHEROK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-388-8908
Mailing Address - Street 1:2014 SHERWOOD FOREST DR
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-2052
Mailing Address - Country:US
Mailing Address - Phone:937-388-8908
Mailing Address - Fax:
Practice Address - Street 1:2014 SHERWOOD FOREST DR
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-2052
Practice Address - Country:US
Practice Address - Phone:937-388-8908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health