Provider Demographics
NPI:1972153047
Name:NOBLE HOME PROVIDERS LLC
Entity type:Organization
Organization Name:NOBLE HOME PROVIDERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DIONICIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUNIGA
Authorized Official - Suffix:III
Authorized Official - Credentials:RN
Authorized Official - Phone:832-613-1684
Mailing Address - Street 1:819 DEEPWATER AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77503-2009
Mailing Address - Country:US
Mailing Address - Phone:832-677-7663
Mailing Address - Fax:713-513-5955
Practice Address - Street 1:819 DEEPWATER AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77503-2009
Practice Address - Country:US
Practice Address - Phone:832-613-1684
Practice Address - Fax:713-513-5955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty