Organization Active NPI

Noble Horizon of Nevada

  • In Home Supportive Care Agency
  • Sparks, NV
National Provider Identifier
1508212267
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NOBLE HORIZON OF NEVADA
Practice address
390 Freeport Blvd Ste 3
Sparks, NV 89431-6259
Phone
(775) 501-5050
Fax
(775) 501-5050
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Mr. Raymond Blaise Ngata
Title
Director
Phone
(775) 501-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

390 Freeport Blvd Ste 3
Sparks, NV 89431-6259

Mailing address

390 Freeport Blvd Ste 3
Sparks, NV 89431-6259
Phone (775) 501-5050

Other identifiers 1

IdentifierTypeStateIssuer
9005040298MedicaidNV

National Provider Directory

National Provider Directory

Locations

390 Freeport Blvd
Ste 3
Sparks, NV 89431
Phone (775) 501-5050

Practitioners & affiliated clinicians

Practitioners 5

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": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1508212267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 FREEPORT BLVD STE 3",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894316259",
            "telephone_number": "775-501-5050",
            "fax_number": "775-501-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 FREEPORT BLVD STE 3",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894316259",
            "telephone_number": "775-501-5050",
            "fax_number": "775-501-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HORIZON OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "NGATA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "BLAISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "775-501-5050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005040298",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.