Provider Demographics
NPI:1518586387
Name:NOBLE CARES LLC
Entity Type:Organization
Organization Name:NOBLE CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EBENEZER
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINBAMIJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-978-0574
Mailing Address - Street 1:2409 132ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55448-2567
Mailing Address - Country:US
Mailing Address - Phone:612-978-0574
Mailing Address - Fax:
Practice Address - Street 1:3240 SPRAGUE AVE
Practice Address - Street 2:
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303-1422
Practice Address - Country:US
Practice Address - Phone:612-978-0574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-13
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health