Healthcare Provider Details
I. General information
NPI: 1235248253
Provider Name (Legal Business Name): NOBLECARE HOME HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/30/2006
Last Update Date: 02/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
629 W CENTERVILLE RD STE 208
GARLAND TX
75041-5428
US
IV. Provider business mailing address
629 W CENTERVILLE RD STE 208
GARLAND TX
75041-5428
US
V. Phone/Fax
- Phone: 972-278-8700
- Fax: 972-278-8723
- Phone: 972-278-8700
- Fax: 972-278-8723
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAMUEL
E
EKPO
Title or Position: ADMINSTRATOR
Credential:
Phone: 972-278-8700