Provider Demographics
NPI:1093957938
Name:NOBLE HEALTHCARE GROUP INC
Entity Type:Organization
Organization Name:NOBLE HEALTHCARE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:RANI
Authorized Official - Middle Name:
Authorized Official - Last Name:DHILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-640-0939
Mailing Address - Street 1:865 CORPORATE WAY
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-6115
Mailing Address - Country:US
Mailing Address - Phone:925-640-0939
Mailing Address - Fax:925-401-9599
Practice Address - Street 1:865 CORPORATE WAY
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-6115
Practice Address - Country:US
Practice Address - Phone:925-640-0939
Practice Address - Fax:925-401-9599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health