Provider Demographics
NPI:1952437493
Name:NOBLES GROUP HOMES, INC.
Entity Type:Organization
Organization Name:NOBLES GROUP HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:DEMETRIUS
Authorized Official - Last Name:NOBLES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:251-438-1340
Mailing Address - Street 1:6902 PROVIDENCE ESTATE DR S
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-4612
Mailing Address - Country:US
Mailing Address - Phone:251-438-1340
Mailing Address - Fax:251-438-2052
Practice Address - Street 1:2420 S SHELTON BEACH RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36613-3415
Practice Address - Country:US
Practice Address - Phone:251-438-1340
Practice Address - Fax:251-438-2052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000316800320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities