Healthcare Provider Details

I. General information

NPI: 1154241313
Provider Name (Legal Business Name): NOBLE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 HORIZON DR VERONA WI
VERONA WI
53593
US

IV. Provider business mailing address

230 HORIZON DR VERONA WI SUITE 123
VERONA WI
53593
US

V. Phone/Fax

Practice location:
  • Phone: 206-683-0114
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BASHIR AHMED
Title or Position: CEO
Credential:
Phone: 612-223-1115