Organization Active NPI

Noble Homes

  • Mental Illness Community Based Residential Treatment Facility
  • San Tan Valley, AZ
National Provider Identifier
1770103822
Registry record updated Apr 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
NOBLE HOMES
Practice address
40353 N Parisi PL
San Tan Valley, AZ 85140-6825
Phone
(480) 508-1447
Fax
(480) 508-1448
NPI assigned
Apr 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2020

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

Authorized official

Name
Mr. Nurein Shaibu
Title
Administrator
Phone
(646) 944-9582

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

40353 N Parisi PL
San Tan Valley, AZ 85140-6825

Mailing address

1342 W Park Ave
Chandler, AZ 85224-8663
Phone (646) 944-9582

Other identifiers 1

IdentifierTypeStateIssuer
BH6193MedicaidAZ

Other names 1

  • NOBLEHOMES Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMAIL Other

National Provider Directory

National Provider Directory
Tax ID family
Noble Homes2 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.

NPI Registry JSON

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

{
    "created_epoch": "1587254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587254400000",
    "number": "1770103822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 W PARK AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852248663",
            "telephone_number": "646-944-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40353 N PARISI PL",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851406825",
            "telephone_number": "480-508-1447",
            "fax_number": "480-508-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-19",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A",
        "authorized_official_last_name": "SHAIBU",
        "authorized_official_first_name": "NUREIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "646-944-9582",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH6193",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMAIL",
            "affiliation": "N",
            "endpointDescription": "COMPANY EMAIL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "SAN TAN VALLEY",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SAN TAN VALLEY",
            "address_1": "40353 N Parisi Pl",
            "city": "San Tan Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851406825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NOBLEHOMES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2020; 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.