Organization Active NPI

Ennoble Nursing LLC

  • Skilled Nursing Facility
  • Dubuque, IA
National Provider Identifier
1528546298
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ENNOBLE NURSING LLC
Practice address
2000 Pasadena Dr
Dubuque, IA 52001-0808
Phone
(563) 577-1076
NPI assigned
Aug 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Authorized official

Name
Aharon Kibel
Title
Owner
Phone
(786) 564-9339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2000 Pasadena Dr
Dubuque, IA 52001-0808

Mailing address

2000 Pasadena Dr
Dubuque, IA 52001-0808
Phone (563) 577-1076

Other names 1

  • ENNOBLE NURSING AND REHABILITATION Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1528546298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PASADENA DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520010808",
            "telephone_number": "563-577-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PASADENA DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520010808",
            "telephone_number": "563-577-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNOBLE NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "KIBEL",
        "authorized_official_first_name": "AHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-564-9339"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENNOBLE NURSING AND REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.