Provider Demographics
NPI:1235248253
Name:NOBLECARE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:NOBLECARE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:EKPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-278-8700
Mailing Address - Street 1:629 W CENTERVILLE RD STE 208
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-5428
Mailing Address - Country:US
Mailing Address - Phone:972-278-8700
Mailing Address - Fax:972-278-8723
Practice Address - Street 1:629 W CENTERVILLE RD STE 208
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-5428
Practice Address - Country:US
Practice Address - Phone:972-278-8700
Practice Address - Fax:972-278-8723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
457800Medicare Oscar/Certification