Provider Demographics
NPI:1093492043
Name:NOBLE GEMS COMMUNITY HEALTH SERVICES LLC.
Entity Type:Organization
Organization Name:NOBLE GEMS COMMUNITY HEALTH SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COMMUNITY HEALTH / CCHW
Authorized Official - Prefix:
Authorized Official - First Name:CIERRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CCHW
Authorized Official - Phone:410-826-8266
Mailing Address - Street 1:2204 N CHARLES ST STE B
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-5768
Mailing Address - Country:US
Mailing Address - Phone:410-826-8266
Mailing Address - Fax:
Practice Address - Street 1:2204 N CHARLES ST STE B
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-5768
Practice Address - Country:US
Practice Address - Phone:410-826-8266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care