Provider Demographics
NPI:1972126571
Name:NOBLE HEALTH SERVICES LLC
Entity type:Organization
Organization Name:NOBLE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:LOGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-330-5771
Mailing Address - Street 1:5100 POPLAR AVE FL 27
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38137-2701
Mailing Address - Country:US
Mailing Address - Phone:832-330-5771
Mailing Address - Fax:
Practice Address - Street 1:5100 POPLAR AVE FL 27
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38137-2701
Practice Address - Country:US
Practice Address - Phone:832-330-5771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)