Healthcare Provider Details

I. General information

NPI: 1679982524
Provider Name (Legal Business Name): NOBLE SUB-ACUTE CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

752 HOLMES ST
LIVERMORE CA
94550-4229
US

IV. Provider business mailing address

125 SILVER OAK TER
ORINDA CA
94563-1226
US

V. Phone/Fax

Practice location:
  • Phone: 925-447-2280
  • Fax: 925-454-5335
Mailing address:
  • Phone: 925-447-2280
  • Fax: 925-454-5335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number550003515
License Number StateCA

VIII. Authorized Official

Name: MRS. ANELLI STAMM
Title or Position: SECRETARY
Credential: RN
Phone: 925-447-2280