NOBLE WELLNESS, LLC (NPI# 1427664366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427664366 |
Entity Type | Organization |
Organization Name | NOBLE WELLNESS, LLC |
Practice Address |
402 Ne 10th Ter Boca Raton FL 33432-2940 |
Practice Telephone | 9546843995 |
Practice Fax Number | 5614135627 |
Mailing Telephone | 9546843995 |
Mailing Fax Number | 5614135627 |
Enumeration Date | 2020-09-16 |
Last Update Date | 2020-09-24 |
Authorized Official Name | JOANNE TELMOSSE (BILLING/CREDENTIALING SPECIALIST) |
Authorized Official Telephone | 5468439959 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Noble Wellness, LLC | 5853 Fourmile Canyon Dr, Boulder, CO 80302 |
Street Address |
402 NE 10TH TER |
City | BOCA RATON |
State | FL |
Zip Code | 33432-2940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962024067 | Barry Wolf | Counselor | Jackwolf LLC, 247 S. Ocean Blvd, Boca Raton, FL 33432 | 2020-05-12 |
1225659147 | Tyler Stephanie Diaz Redford | Physician Assistant | 106 Ne 2nd St., Boca Raton, FL 33432 | 2020-05-01 |
1235611393 | Gabrielle Bovarnick | Behavioral Analyst | 1730 S Federal Hwy #268, Delay Beach, FL 33432 | 2018-09-05 |
1285113878 | Innovative Supplies, LLC | Durable Medical Equipment & Medical Supplies | 399 Camino Gardens, Ste 303, Boca Raton, FL 33432 | 2018-08-14 |
1376029850 | Sunlight Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1700 N. Dixie Highway, Ste 127, Boca Raton, FL 33432 | 2018-07-17 |
1306332648 | Sunlight Medical LLC | Durable Medical Equipment & Medical Supplies | 1700 Dixie Hwy, Suite 127, Boca Raton, FL 33432 | 2018-07-10 |
1669973707 | Amanda M. D'alem | Behavior Technician | Nw 13th St #300, Boca Raton, FL 33432 | 2018-02-23 |
1457863326 | Pipeline Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1700 N Dixie Hwy Ste 140, Boca Raton, FL 33432 | 2017-10-31 |
1063930717 | Francisco Jose Osorio | Behavior Technician | 123 Nw 13 St, Boca Raton, FL 33432 | 2017-09-01 |
1023467263 | Sraz Consultancy LLC | Counselor | 370 Camino Gardens Blvd Suite 101, Boca Raton, FL 33432 | 2016-06-08 |
Find all providers in zip 33432 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356818637 | Medicus Health Plan, Inc. | Substance Abuse Rehabilitation Facility | 9980 Central Park Blvd N Ste 116, Boca Raton, FL 33428-1703 | 2018-10-25 |
1982187548 | Hcrd LLC | Substance Abuse Rehabilitation Facility | 7300 Camino Real Ste 206, Boca Raton, FL 33433-5518 | 2018-09-10 |
1275078560 | Allure Detox LLC | Substance Abuse Rehabilitation Facility | 7700 West Camino Real, 404, Boca Raton, FL 33433-5543 | 2016-12-22 |
1609267384 | Boca Detox Center LLC | Substance Abuse Rehabilitation Facility | 899 Meadows Rd Ste 100, Boca Raton, FL 33486-2338 | 2015-02-17 |
1225451933 | Dream Recovery International LLC | Substance Abuse Rehabilitation Facility | 3010 N. Military Trail, Boca Raton, FL 33431 | 2014-01-31 |
1285074518 | Sunny Style Sober Living LLC | Substance Abuse Rehabilitation Facility | 22798 Sw 65th Way, Boca Raton, FL 33428-5303 | 2013-07-01 |
1659613784 | Life of Purpose, LLC | Substance Abuse Rehabilitation Facility | 3848 Fau Blvd Ste 100, Innovation Center 2, Boca Raton, FL 33431-6437 | 2013-03-27 |
1053600254 | Hallway of Life Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 5455 N Federal Hwy Ste B, Boca Raton, FL 33487-4994 | 2011-03-29 |
1124321807 | Awakenings of Florida | Substance Abuse Rehabilitation Facility | 275 Nw 20th St, Boca Raton, FL 33431-7972 | 2010-12-17 |
1952604639 | Regency Properties of Boca Raton | Substance Abuse Rehabilitation Facility | 321 W Camino Real, Boca Raton, FL 33432-5705 | 2010-12-17 |
Find all providers in BOCA RATON |
City | BOCA RATON |
Zip Code | 33432 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.