Noble Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

012829 Issued in IN

Legal business name

NOBLE HOME HEALTH CARE LLC

Practice address

2449 45TH St
Suite D
Highland, IN 46322

Phone

(219) 924-5084

Fax

(219) 924-5386

NPI assigned

Jan 23, 2012

Last updated

May 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paula Jean RousisNPI 1194282012

Title

Administrator

Phone

(219) 924-5084

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Noble Home Health Care Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912278904. Details of each certification follow.

• CCN 157650 Home health agency · Active · Details

Home health agency certification: CCN 157650

Legal name

NOBLE HOME HEALTH CARE LLC

Doing business as

NOBLE HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 17, 2012

Last certification

Aug 23, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Oct 22, 2011 in IN

Enrollment address

2449 45TH St
Ste D
Highland, IN 46322-2669
HHA Branch

Listed as

Noble Home Health Care LLCCCN 157650 · All quality measures

Ownership

Proprietary

Certified

Jul 17, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paula Jean Rousis, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Gary, IN
  • NPI 1194282012
  NPD Authorized official

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1912278904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 45TH ST",
            "address_2": "SUITE D",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "46322",
            "telephone_number": "219-924-5084",
            "fax_number": "219-924-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 45TH ST",
            "address_2": "SUITE D",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "46322",
            "telephone_number": "219-924-5084",
            "fax_number": "219-924-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "ROUSIS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-924-5084"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "012829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15K092",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noble Home Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Iwona Navarro
• Michael Nestlehut
• Rebecca Lynn Newenhouse, MA, BCBA
• Gary S. Nickerson, D.D.S.
• Nicole Annette Nicksic
• Northwest Indiana Id Associates PC
• Northwest Indiana Podiatry Clinic, LLC
• Northwest Indiana Therapy Center, LLC
• Northwest Psychological Services, P.C.
• Joyce Nowak, CRTT

• Home Health Agency in Highland, IN
• Providers in Highland, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.