Provider Demographics
NPI:1922597822
Name:NOBLE HEALTHY INC
Entity Type:Organization
Organization Name:NOBLE HEALTHY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:UBASINEKE
Authorized Official - Middle Name:VITALIS
Authorized Official - Last Name:ACHILIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-830-9292
Mailing Address - Street 1:2 BROAD ST STE 507
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2549
Mailing Address - Country:US
Mailing Address - Phone:973-830-9292
Mailing Address - Fax:
Practice Address - Street 1:2 BROAD ST STE 507
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2549
Practice Address - Country:US
Practice Address - Phone:973-830-9292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0277200251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health