Provider Demographics
NPI:1922545375
Name:NOBLE HOME CARE
Entity Type:Organization
Organization Name:NOBLE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GENARO
Authorized Official - Middle Name:L
Authorized Official - Last Name:VILLARREAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-763-9770
Mailing Address - Street 1:1626 SWEDEN LN
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-8386
Mailing Address - Country:US
Mailing Address - Phone:956-763-9770
Mailing Address - Fax:
Practice Address - Street 1:1626 SWEDEN LN
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-8386
Practice Address - Country:US
Practice Address - Phone:956-763-9770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care