Organization Active NPI

Noble Home Care Service

  • Home Health Aide
  • Plymouth, MN
National Provider Identifier
1821633561
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
NOBLE HOME CARE SERVICE
Practice address
14215 55TH PL N
Plymouth, MN 55446-2068
Phone
(651) 503-1969
NPI assigned
Nov 15, 2019
Organization subpart
Yes
Parent organization
NOBLE HOME CARE SERIVCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Authorized official

Name
Meaza A Wolde
Title
Director
Phone
(651) 503-1969

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

14215 55TH PL N
Plymouth, MN 55446-2068

Mailing address

14215 55TH PL N
Plymouth, MN 55446-2068
Phone (651) 503-1969

National Provider Directory

National Provider Directory
Part of
Noble Home Care Service

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1821633561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14215 55TH PL N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462068",
            "telephone_number": "651-503-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14215 55TH PL N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462068",
            "telephone_number": "651-503-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HOME CARE SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOBLE HOME CARE SERIVCE",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "WOLDE",
        "authorized_official_first_name": "MEAZA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-503-1969"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.