Organization Active NPI

Noble Care Corp.

  • Developmentally Disabled Services Day Training Agency
  • Tucson, AZ
National Provider Identifier
1922372390
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
NOBLE CARE CORP.
Practice address
3711 S Cindy LN
Tucson, AZ 85730-4444
Phone
(520) 344-7260
Fax
(520) 344-7260
NPI assigned
Mar 2, 2012
Last updated
Mar 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
David Wallen
Title
Ceo
Phone
(520) 331-3642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

3711 S Cindy LN
Tucson, AZ 85730-4444

Mailing address

140 S Camino Seco
Suite 305
Tucson, AZ 85710-4484
Phone (520) 398-5675

Other identifiers 1

IdentifierTypeStateIssuer
983553MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1922372390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S CAMINO SECO",
            "address_2": "SUITE 305",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104484",
            "telephone_number": "520-398-5675",
            "fax_number": "520-398-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 S CINDY LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857304444",
            "telephone_number": "520-344-7260",
            "fax_number": "520-344-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "WALLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-331-3642"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "983553",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.