MEDICARE: NOBLE CARE AT HOME 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1275474074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOBLE CARE AT HOME LLC

Provider Business Mailing Address
First Line	:	4439 CARNES ST
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-5305
Country	:	US
Telephone Number	:	404-438-1182
Fax Number	:

Provider Business Practice Location Address
First Line	:	4439 CARNES ST
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-5305
Country	:	US
Telephone Number	:	404-438-1182
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMANDA ACHUSIM
Credential	:	RN
Telephone Number	:	240-470-9838

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/03/2026

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Directions to “NOBLE CARE AT HOME LLC ” Practice Location

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