Provider Demographics
NPI:1437865714
Name:NOBLE HEARTS AGENCY, LLC
Entity Type:Organization
Organization Name:NOBLE HEARTS AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ENCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-985-3544
Mailing Address - Street 1:5222 S EAST ST STE B6
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-1983
Mailing Address - Country:US
Mailing Address - Phone:317-672-4819
Mailing Address - Fax:317-672-4831
Practice Address - Street 1:5222 S EAST ST STE B6
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-1983
Practice Address - Country:US
Practice Address - Phone:317-672-4819
Practice Address - Fax:317-672-4831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300062195Medicaid