Noble Group Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

NOBLE GROUP HOME LLC

Doing business as

Noble Group Home

Practice address

16026 N 48TH Dr
Glendale, AZ 85306-2624

Phone

(602) 748-7682

NPI assigned

Jan 10, 2023

Last updated

Jan 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Noah Drar

Title

Administrator/Manager

Phone

(602) 748-7682

Specialties & licenses 1

Addresses

Other names 1

• Noble Group Home Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abate Drar

  • Non-emergency Medical Transport (VAN)
  • Phoenix, AZ
  • NPI 1952113946
  NPD

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1659085934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 N 19TH AVE STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850157423",
            "telephone_number": "602-570-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16026 N 48TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062624",
            "telephone_number": "602-748-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "DRAR",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "ADMINISTRATOR/MANAGER",
        "authorized_official_telephone_number": "602-748-7682"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noble Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Layal A Nissan, MD
• Bree Nitz
• Samantha Nixon, LISAC
• NN Transllc
• Noble Care Services West LLC (Noble Hospice)
• Amanda Lynn Noble, RN
• Danisha Noble
• Paul Noble, RNFA
• Rani Noble
• Riley Taylor Noel

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.