Organization Active NPI

The Noble Home II, Inc

  • Assisted Living Facility
  • Detroit, MI
National Provider Identifier
1962015099
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE NOBLE HOME II, INC
Doing business as
The Noble Home II
Practice address
327 E Grand Blvd
Detroit, MI 48207
Phone
(313) 477-0461
Fax
(313) 736-3781
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Ms. Shelly Sibert
Title
President
Phone
(313) 477-0461

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Assisted Living Facility (Mental Illness) 3104A0625X
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

327 E Grand Blvd
Detroit, MI 48207

Mailing address

19620 Cherrylawn
Detroit, MI 48221
Phone (313) 477-0461

Other names 1

  • The Noble Home II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Noble Home II2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1962015099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19620 CHERRYLAWN",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48221",
            "telephone_number": "313-477-0461",
            "fax_number": "313-736-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 E GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48207",
            "telephone_number": "313-477-0461",
            "fax_number": "313-736-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NOBLE HOME II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "SIBERT",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-477-0461",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Noble Home II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.