The Noble Home II, INC
Assisted Living Facility in Detroit, MI. Organization (NPI-2).
NPI number1962015099
StatusActive
Last updated in NPPESAug 28, 2020
Details
- NPI
- 1962015099
- Entity type
- Organization (NPI-2)
- Legal business name
- The Noble Home II, INC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2020
- Certification date
- Aug 27, 2020
- Last updated
- Aug 28, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | – | – | |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – |
Other names
- The Noble Home II (Doing Business As)
Practice location
327 E Grand BlvdDetroit, MI 48207
Phone 313-477-0461 · Fax 313-736-3781
Mailing address
19620 CherrylawnDetroit, MI 48221
Phone 313-477-0461 · Fax 313-736-3781
Authorized official
Shelly Sibert
President
3134770461
Is something wrong?
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