Organization Active NPI

Noble Healthcare Inc

  • Home Health Agency
  • Fridley, MN
National Provider Identifier
1609637701
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NOBLE HEALTHCARE INC
Practice address
1566 N Oberlin Cir
Fridley, MN 55432-6030
Phone
(763) 913-6753
Fax
(763) 600-6102
NPI assigned
Jan 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Alfred Zaccheus Payne
Title
Agent
Phone
(763) 234-6433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1566 N Oberlin Cir
Fridley, MN 55432-6030

Mailing address

1566 N Oberlin Cir
Fridley, MN 55432-6030
Phone (763) 913-6753

Other names 1

  • Noble Healthcare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Encrypted Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1609637701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566 N OBERLIN CIR",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554326030",
            "telephone_number": "763-913-6753",
            "fax_number": "763-600-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566 N OBERLIN CIR",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554326030",
            "telephone_number": "763-913-6753",
            "fax_number": "763-600-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "ALFRED ZACCHEUS",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "763-234-6433"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Encrypted",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliance",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health information",
            "address_1": "1566 N Oberlin Cir",
            "city": "Fridley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554326030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Noble Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.