Provider Demographics
NPI:1265217376
Name:NOBLE HOME CARE LLC
Entity type:Organization
Organization Name:NOBLE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AFRAH
Authorized Official - Middle Name:D
Authorized Official - Last Name:ABDULAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-734-8799
Mailing Address - Street 1:4359 S HOWELL AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-5056
Mailing Address - Country:US
Mailing Address - Phone:651-734-8799
Mailing Address - Fax:
Practice Address - Street 1:4359 S HOWELL AVE STE 303
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53207-5056
Practice Address - Country:US
Practice Address - Phone:651-734-8799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health