Provider Demographics
NPI:1750686424
Name:NOBLE CARE
Entity Type:Organization
Organization Name:NOBLE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARADA-DEVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-380-5854
Mailing Address - Street 1:200 LESLIE DR
Mailing Address - Street 2:UNIT 1126
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-7311
Mailing Address - Country:US
Mailing Address - Phone:786-380-5854
Mailing Address - Fax:
Practice Address - Street 1:200 LESLIE DR
Practice Address - Street 2:UNIT 1126
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-7311
Practice Address - Country:US
Practice Address - Phone:786-380-5854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL231302253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care