Provider Demographics
NPI:1902796832
Name:NOBLE OAKS LLC
Entity type:Organization
Organization Name:NOBLE OAKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:AKESHA
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:170-427-7311
Mailing Address - Street 1:338 BROADMOOR DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-1923
Mailing Address - Country:US
Mailing Address - Phone:704-277-3112
Mailing Address - Fax:469-772-9204
Practice Address - Street 1:5105 CREIGHTON DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-2127
Practice Address - Country:US
Practice Address - Phone:404-906-7345
Practice Address - Fax:469-772-9204
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IVY LEGACY GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility