Organization Active NPI

Noble Hospice and Home Health Care Inc

  • Home Health Agency
  • Fremont, CA
National Provider Identifier
1982910584
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NOBLE HOSPICE AND HOME HEALTH CARE INC
Practice address
865 Corporate Way
Fremont, CA 94539-6115
Phone
(925) 594-1122
NPI assigned
Aug 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Mr. Inderjeet S Dhillon
Title
Ceo
Phone
(925) 594-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

865 Corporate Way
Fremont, CA 94539-6115

Mailing address

865 Corporate Way
Fremont, CA 94539-6115
Phone (925) 594-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101011000672 CA Part A Provider - Home Health Agency 3072705110 Practice locations: Pleasanton, CA

Home health agency certification: CCN 059307

Legal name
NOBLE HOSPICE AND HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 27, 2011
Last certification
Feb 15, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 12, 2010 in CA
Enrollment address
6601 Owens Dr
Ste 245
Pleasanton, CA 94588-3356

Care Compare: Home health agency

Medicare Care Compare
Listed as
Noble Hospice & Home Health Care, IncCCN 059307
Ownership
Proprietary
Certified
May 27, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2016856Noble Hospice & Home Health Care, Inc6601 Owens Dr Ste 245, Pleasanton, CA 94588Certificate of waiverNov 28, 2026
05D2110206Noble Hospice Care Inc6601 Owens Dr Ste 245, Pleasanton, CA 94588Certificate of waiverMar 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Noble Hospice and Home Health Care Inc2 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.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

41305 Albrae St
Fremont, CA 94538
Phone (510) 657-1700

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Inderjeet Singh Dhillon Individual 5% Or Greater Direct Ownership Interest Aug 10, 2010 100%
Corporate DirectorCeo Feb 1, 2024 100%
W-2 Managing EmployeeCeo Feb 1, 2024 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1982910584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 CORPORATE WAY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945396115",
            "telephone_number": "925-594-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 CORPORATE WAY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945396115",
            "telephone_number": "925-594-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HOSPICE AND HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "INDERJEET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-594-1122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.