Organization Active NPI

Noble Health LLC

  • Home Health Agency
  • Springfield, VA
National Provider Identifier
1720599855
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-1759 Issued in VA
Legal business name
NOBLE HEALTH LLC
Practice address
6803 Darby LN
Springfield, VA 22150-2006
Phone
(202) 790-8065
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Authorized official

Name
Mr. Mohamed Yusuf Ali
Title
Owner
Phone
(202) 790-8065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-1759 VA Primary

Addresses

Primary practice location

6803 Darby LN
Springfield, VA 22150-2006

Mailing address

6803 Darby LN
Springfield, VA 22150-2006

Other identifiers 1

IdentifierTypeStateIssuer
HCO-1759MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1720599855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 DARBY LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 DARBY LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502006",
            "telephone_number": "202-790-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "YUSUF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-790-8065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-1759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCO-1759",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.