Active NPI
Noble Homes
- Mental Illness Community Based Residential Treatment Facility
- San Tan Valley, AZ
National Provider Identifier
1770103822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH6193 | Medicaid | AZ |
Other names 1
- NOBLEHOMES
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Other |
National Provider Directory
National Provider Directory- Tax ID family
- Noble Homes
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Chandler, AZ
- NPI 1417428046
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.