Provider Demographics
NPI:1619697141
Name:NOBLE ONE ENTERPRISES, LLC
Entity Type:Organization
Organization Name:NOBLE ONE ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROJECT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:A
Authorized Official - Last Name:OSINDERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-301-1039
Mailing Address - Street 1:21040 HIGHLAND KNOLLS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1581
Mailing Address - Country:US
Mailing Address - Phone:347-301-1039
Mailing Address - Fax:
Practice Address - Street 1:4431 BUENTELLO DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2237
Practice Address - Country:US
Practice Address - Phone:347-301-1039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-02
Last Update Date:2022-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)