Organization Active NPI

The Noble Home II, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1750859229
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
THE NOBLE HOME II, INC
Practice address
327 E Grand Blvd
Detroit, MI 48207-3616
Phone
(313) 922-4164
Fax
(313) 736-3781
NPI assigned
Nov 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Authorized official

Name
Shelly Sibert
Title
President
Phone
(313) 477-0461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

327 E Grand Blvd
Detroit, MI 48207-3616

Mailing address

19620 Cherrylawn St
Detroit, MI 48221-1606
Phone (313) 477-0461

National Provider Directory

National Provider Directory
Tax ID family
The Noble Home II2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

327 E Grand Blvd
Detroit, MI 48207
Phone (313) 477-0461

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1750859229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19620 CHERRYLAWN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211606",
            "telephone_number": "313-477-0461",
            "fax_number": "313-736-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 E GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482073616",
            "telephone_number": "313-922-4164",
            "fax_number": "313-736-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NOBLE HOME II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "SIBERT",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-477-0461"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.