Organization Active NPI

Noble Oaks LLC

  • Assisted Living Facility
  • Dallas, TX
National Provider Identifier
1902796832
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NOBLE OAKS LLC
Practice address
5105 Creighton Dr
Dallas, TX 75214-2127
Phone
(404) 906-7345
Fax
(469) 772-9204
NPI assigned
Jul 3, 2025
Last updated
Jul 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
IVY LEGACY GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Ms. Marie Akesha Davis
Title
Partner
Phone
(170) 427-7311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5105 Creighton Dr
Dallas, TX 75214-2127

Mailing address

338 Broadmoor Dr
Rockwall, TX 75032-1923
Phone (704) 277-3112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1902796832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 BROADMOOR DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750321923",
            "telephone_number": "704-277-3112",
            "fax_number": "469-772-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 CREIGHTON DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142127",
            "telephone_number": "404-906-7345",
            "fax_number": "469-772-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE OAKS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IVY LEGACY GROUP LLC",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "AKESHA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "170-427-7311",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.