Provider Demographics
NPI:1366981029
Name:NOBLE CARE HOMEHEALTH
Entity type:Organization
Organization Name:NOBLE CARE HOMEHEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:ISATU
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:240-444-3942
Mailing Address - Street 1:6225 SPRINGHILL CT
Mailing Address - Street 2:# 302
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1338
Mailing Address - Country:US
Mailing Address - Phone:240-444-3942
Mailing Address - Fax:
Practice Address - Street 1:6225 SPRINGHILL CT
Practice Address - Street 2:# 302
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1338
Practice Address - Country:US
Practice Address - Phone:240-444-3942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3987251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health