THE NOBLE HOME II, INC (NPI# 1962015099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962015099 |
| Entity Type | Organization |
| Organization Name | THE NOBLE HOME II, INC |
| Practice Address |
327 E Grand Blvd Detroit MI 48207 |
| Mailing Address |
19620 Cherrylawn Detroit MI 48221 |
| Practice Telephone | 3134770461 |
| Practice Fax Number | 3137363781 |
| Mailing Telephone | 3134770461 |
| Mailing Fax Number | 3137363781 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | MS. SHELLY SIBERT (PRESIDENT) |
| Authorized Official Telephone | 3134770461 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Noble Home II | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750859229 | The Noble Home II, Inc | Community Based Residential Treatment Facility, Mental Illness | 327 E Grand Blvd, Detroit, MI 48207-3616 | 2018-11-02 |
| Street Address |
327 E GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750859229 | The Noble Home II, Inc | Community Based Residential Treatment Facility, Mental Illness | 327 E Grand Blvd, Detroit, MI 48207-3616 | 2018-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1851840268 | Salem Manor Inc. | Assisted Living Facility | 9422 Northlawn St, Detroit, MI 48204-2788 | 2016-09-26 |
| 1982153565 | Jarvara White | Assisted Living Facility | 13118 Wilshire Dr, Detroit, MI 48213-1988 | 2016-09-23 |
| 1275886665 | Closest Place To Home LLC | Assisted Living Facility | 19810 Westmoreland Rd, Detroit, MI 48219-5106 | 2012-10-22 |
| 1972693372 | Bridgefort Inc | Assisted Living Facility | 15562 Hemlock St, Detroit, MI 48235-3843 | 2006-10-14 |
| 1346282027 | Detroit Care Center,llc | Assisted Living Facility | 511 E Grand Blvd, Detroit, MI 48207-3636 | 2006-06-10 |
| 1730516741 | Dawn of Love In Care | Assisted Living Facility | 19184 Rutherford St, Detroit, MI 48235-2345 | 2013-10-04 |
| 1033199849 | St John Senior Community | Assisted Living Facility | 18300 E Warren, Detroit, MI 48224 | 2006-01-18 |
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| 1295341956 | Comfort Home of Bloomfield Inc | Assisted Living Facility | 6372 Tutbury Ln, Troy, MI 48098-2151 | 2020-09-18 |
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| Find all providers with the same taxonomy | ||||
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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.