MEDICARE: NOBLE HOME HEALTH, INC.

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1215182936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOBLE HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	1515 E TROPICANA AVE
Second Line	:	SUITE 140
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6517
Country	:	US
Telephone Number	:	702-860-8997
Fax Number	:	702-617-1930

Provider Business Practice Location Address
First Line	:	1515 E TROPICANA AVE
Second Line	:	SUITE 140
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6517
Country	:	US
Telephone Number	:	702-860-8997
Fax Number	:	702-617-1930

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JUSTICE AKWA
Credential	:
Telephone Number	:	702-860-8997

Provider Enumeration Date	:	11/21/2008
Last Update Date	:	11/21/2008

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