Active NPI
Noble Hospice and Home Health Care Inc
- Home Health Agency
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- Proprietary
- Certified
- May 27, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2016856 | Noble Hospice & Home Health Care, Inc | Certificate of waiver | Nov 28, 2026 |
| 05D2110206 | Noble Hospice Care Inc | Certificate of waiver | Mar 9, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Noble Hospice and Home Health Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Fremont, CA
- NPI 1689989865
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Fremont, CA
- NPI 1689989865
Member Of
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Inderjeet Singh Dhillon | 5% Or Greater Direct Ownership Interest | Aug 10, 2010 | 100% |
| Corporate Director | Feb 1, 2024 | 100% | |
| W-2 Managing Employee | Feb 1, 2024 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1962464602
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.