Healthcare Provider Details

I. General information

NPI: 1275450421
Provider Name (Legal Business Name): NOOR HAVEN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3265 W SARAZENS CIR STE 204C
MEMPHIS TN
38125-0806
US

IV. Provider business mailing address

3265 W SARAZENS CIR STE 204C
MEMPHIS TN
38125-0806
US

V. Phone/Fax

Practice location:
  • Phone: 469-918-1892
  • Fax:
Mailing address:
  • Phone: 469-918-1892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISHARA BOYD
Title or Position: OWNER
Credential:
Phone: 469-918-1892