Organization Active NPI

Noble Cares LLC

  • Home Health Registered Nurse
  • Spring Lake Park, MN
National Provider Identifier
1629729728
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
NOBLE CARES LLC
Doing business as
Noble Cares LLC
Practice address
7957 Monroe St NE
Spring Lake Park, MN 55432-1968
Phone
(612) 978-0574
NPI assigned
Jan 11, 2022
Last updated
Jan 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Ebenezer Akinbamijo
Title
Registered Nurse
Phone
(612) 978-0574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

7957 Monroe St NE
Spring Lake Park, MN 55432-1968

Mailing address

2409 132ND Ave NW
Coon Rapids, MN 55448-2567
Phone (612) 978-0574

Other names 1

  • Noble Cares LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL noblecares@gmail.com Health Information Exchange (HIE)

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2245114Noble Cares LLC7957 Monroe Street NE, Spring Lake Park, MN 55432Certificate of waiverDec 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Noble Cares LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1629729728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 132ND AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482567",
            "telephone_number": "612-978-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7957 MONROE ST NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554321968",
            "telephone_number": "612-978-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE CARES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "AKINBAMIJO",
        "authorized_official_first_name": "EBENEZER",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "612-978-0574"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "noblecares@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7957 Monroe St NE",
            "city": "Spring Lake Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554321968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Noble Cares LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Lake Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.