MEDICARE: EP NOBLE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1194682757
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EP NOBLE CARE LLC

Provider Business Mailing Address
First Line	:	4200 SKYLINE AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79904-1216
Country	:	US
Telephone Number	:	915-751-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 SKYLINE AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79904-1216
Country	:	US
Telephone Number	:	915-751-0300
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LUCIA DAWSON
Credential	:
Telephone Number	:	915-239-2955

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “EP NOBLE CARE LLC ” Practice Location

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