Provider Demographics
NPI:1336159987
Name:NOEL HOME HEALTH AGENCY INC
Entity Type:Organization
Organization Name:NOEL HOME HEALTH AGENCY INC
Other - Org Name:NOEL HOME HEALTH AGENCY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NOEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-741-0777
Mailing Address - Street 1:6250 W OAKLAND PARK BLVD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33313-1204
Mailing Address - Country:US
Mailing Address - Phone:954-741-0777
Mailing Address - Fax:954-741-4455
Practice Address - Street 1:6250 W OAKLAND PARK BLVD
Practice Address - Street 2:SUITE 9
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33313-1204
Practice Address - Country:US
Practice Address - Phone:954-741-0777
Practice Address - Fax:954-741-4455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL29999138251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health