Provider Demographics
NPI:1093969149
Name:NOBLE HOME CARE, INC.
Entity Type:Organization
Organization Name:NOBLE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARIDAD
Authorized Official - Middle Name:G
Authorized Official - Last Name:CORPUS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-733-7672
Mailing Address - Street 1:2770 S. MARYLAND PARKWAY
Mailing Address - Street 2:STE 312
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109
Mailing Address - Country:US
Mailing Address - Phone:702-733-7672
Mailing Address - Fax:702-733-7696
Practice Address - Street 1:2770 S. MARYLAND PARKWAY
Practice Address - Street 2:STE 312
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109
Practice Address - Country:US
Practice Address - Phone:702-733-7672
Practice Address - Fax:702-733-7696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health