Provider Demographics
NPI:1770131914
Name:NOBLE SERVANT HOMES INC.
Entity type:Organization
Organization Name:NOBLE SERVANT HOMES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTINA FAITH
Authorized Official - Middle Name:
Authorized Official - Last Name:SOCIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-307-6480
Mailing Address - Street 1:4140 W CAPITOLA AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-6141
Mailing Address - Country:US
Mailing Address - Phone:559-554-3947
Mailing Address - Fax:
Practice Address - Street 1:4140 W CAPITOLA AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-6141
Practice Address - Country:US
Practice Address - Phone:559-554-3947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility