Organization Active NPI

Noble Home Care Services

  • Home Health Agency
  • Edina, MN
National Provider Identifier
1063884492
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
374870 Issued in MN
Legal business name
NOBLE HOME CARE SERVICES
Practice address
7400 Metro Blvd Ste 214
Edina, MN 55439-2321
Phone
(612) 245-9687
Fax
(763) 710-5505
NPI assigned
Oct 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fardosa FarahNPI 1922817782
Title
Owner
Phone
(612) 245-9687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 374870 MN Primary

Addresses

Primary practice location

7400 Metro Blvd Ste 214
Edina, MN 55439-2321

Mailing address

7400 Metro Blvd Ste 214
Edina, MN 55439-2321
Phone (612) 245-9687

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2116793Noble Home Care Services LLC7400 Metro Blvd Suite #214, Edina, MN 55439Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory

Locations

7400 Metro Blvd
Ste 214
Edina, MN 55439
Phone (612) 245-9687

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1063884492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 214",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392321",
            "telephone_number": "612-245-9687",
            "fax_number": "763-710-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 214",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392321",
            "telephone_number": "612-245-9687",
            "fax_number": "763-710-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-25",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "FARDOSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-245-9687"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "374870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.