Organization Active NPI

Noble Homecare LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Annandale, VA
National Provider Identifier
1225941271
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
NOBLE HOMECARE LLC
Practice address
7125 Dale CT
Annandale, VA 22003-3130
Phone
(910) 237-3307
NPI assigned
Sep 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Mr. Fidelis Sama Atabong
Title
Ceo
Phone
(910) 237-3307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

7125 Dale CT
Annandale, VA 22003-3130

Mailing address

7125 Dale CT
Annandale, VA 22003-3130
Phone (910) 237-3307

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1225941271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 DALE CT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033130",
            "telephone_number": "910-237-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 DALE CT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033130",
            "telephone_number": "910-237-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "ATABONG",
        "authorized_official_first_name": "FIDELIS",
        "authorized_official_middle_name": "SAMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-237-3307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.