Provider Demographics
NPI:1073282877
Name:NOBLE CARE LLC
Entity Type:Organization
Organization Name:NOBLE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOBOLAJI
Authorized Official - Middle Name:D
Authorized Official - Last Name:OLUADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-559-6056
Mailing Address - Street 1:2404 FERDINAND DR
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-7457
Mailing Address - Country:US
Mailing Address - Phone:919-559-6056
Mailing Address - Fax:
Practice Address - Street 1:2015 VILLAGE PARK DR
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-7041
Practice Address - Country:US
Practice Address - Phone:919-559-6056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care