Healthcare Provider Details

I. General information

NPI: 1982539292
Provider Name (Legal Business Name): NOBLECARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1743 7TH ST S STE 3
SAINT CLOUD MN
56301-4047
US

IV. Provider business mailing address

1743 7TH ST S STE 3
SAINT CLOUD MN
56301-4047
US

V. Phone/Fax

Practice location:
  • Phone: 509-212-0065
  • Fax:
Mailing address:
  • Phone: 509-212-0065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ADEN MUSE ABDI
Title or Position: CEO/MANAGING DIRECTOR
Credential:
Phone: 509-212-0065