NPI 1124719604 · live from the CMS NPI Registry
A Willing Noble Services, LLC
In Home Supportive Care in Port Saint Lucie, FL. National Provider Identifier 1124719604, active.
NPI record
| NPI | 1124719604 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 2151 Sw Barthel St, Port Saint Lucie, FL 34984 |
| Practice phone | 561-755-1797 |
| Enumerated | May 16, 2023 |
| Last updated | June 8, 2026 |
| Authorized official | James Willingham, Director |
| Other names | A Willing Noble Services LLC; Willing Noble Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | — |
| Intermediate Care Facility, Intellectual Disabilities | 315P00000X | — |
| Clinic/Center, Developmental Disabilities | 261QD1600X | — |
| Respite Care | 385H00000X | — |
| Day Training, Developmentally Disabled Services | 251C00000X | — |
| Clinic/Center, Adult Day Care | 261QA0600X | — |
| In Home Supportive Care primary | 253Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.