Healthcare Provider Details

I. General information

NPI: 1386553691
Provider Name (Legal Business Name): NOBLE ABODE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1691 RONALD REAGAN PKWY STE 1507
AVON IN
46123-6050
US

IV. Provider business mailing address

1691 RONALD REAGAN PKWY STE 1507
AVON IN
46123-6050
US

V. Phone/Fax

Practice location:
  • Phone: 317-476-7511
  • Fax: 317-534-3234
Mailing address:
  • Phone: 317-476-7511
  • Fax: 317-534-3234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CRENIA AILEMEN
Title or Position: VPFO
Credential:
Phone: 317-476-7511