Active NPI
Noble Senior Center Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Saint Paul, MN
National Provider Identifier
1952831026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- NOBLE SENIOR CENTER INC
- Practice address
- 1094 University Ave W
Saint Paul, MN 55104 - Phone
- (651) 788-9231
- Fax
- (651) 925-0626
- NPI assigned
- Jun 12, 2017
- Last updated
- Aug 2, 2018
- 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
- Mohamed Mohamed
- Title
- Owner/Manager
- Phone
- (651) 788-9231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | Primary |
Addresses
Primary practice location
1094 University Ave W
Saint Paul, MN 55104
Mailing address
1094 University Ave W
Saint Paul, MN 55104
Phone (651) 788-9231
National Provider Directory
National Provider DirectoryLocations
1094 University Ave W
Saint Paul, MN 55104
Phone (651) 788-9231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533168000000",
"number": "1952831026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1094 UNIVERSITY AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55104",
"telephone_number": "651-788-9231",
"fax_number": "651-925-0626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1094 UNIVERSITY AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55104",
"telephone_number": "651-788-9231",
"fax_number": "651-925-0626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOBLE SENIOR CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-12",
"last_updated": "2018-08-02",
"status": "A",
"authorized_official_last_name": "MOHAMED",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "651-788-9231"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.