Noble Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NOBLE HOME CARE SERVICES LLC

Practice address

6625 Miami Lakes Dr E Ste 324
Miami Lakes, FL 33014-2766

Phone

(305) 777-0773

NPI assigned

Jun 17, 2021

Organization subpart

No

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

Authorized official

Name

Raudel Cruz

Title

Owner

Phone

(305) 777-0773

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Noble Home Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Noble Home Care Services LLC

  • In Home Supportive Care Agency
  • Miramar, FL
  • NPI 1457076911
  NPD tax ID

Locations

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1477122141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 MIAMI LAKES DR E STE 324",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142766",
            "telephone_number": "305-777-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 MIAMI LAKES DR E STE 324",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142766",
            "telephone_number": "305-777-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "RAUDEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-777-0773"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111899400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.