Provider Demographics
NPI:1184486052
Name:NOBLES HOMECARE LLC
Entity type:Organization
Organization Name:NOBLES HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:MOHAMMED
Authorized Official - Last Name:AL ZIRKANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-329-1653
Mailing Address - Street 1:64 WAINWRIGHT CIR W
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-2522
Mailing Address - Country:US
Mailing Address - Phone:207-329-1653
Mailing Address - Fax:
Practice Address - Street 1:677 ROOSEVELT TRL STE 104
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-5212
Practice Address - Country:US
Practice Address - Phone:207-329-1653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care