MEDICARE: NOBLE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1578302451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOBLE CARE LLC

Provider Business Mailing Address
First Line	:	8599 A C SKINNER PKWY UNIT 1309
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-0855
Country	:	US
Telephone Number	:	904-994-6770
Fax Number	:

Provider Business Practice Location Address
First Line	:	8599 A C SKINNER PKWY UNIT 1309
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-0855
Country	:	US
Telephone Number	:	904-994-6770
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MIKAIL SILASIE ZEKIROS
Credential	:
Telephone Number	:	904-994-6770

Provider Enumeration Date	:	05/21/2024
Last Update Date	:	05/21/2024

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Directions to “NOBLE CARE LLC ” Practice Location

Language	Start Address	Practice Location

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