Provider Demographics
NPI:1073809125
Name:THE ARKK GROUP, LLC
Entity Type:Organization
Organization Name:THE ARKK GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:RENATA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-724-6171
Mailing Address - Street 1:355 CRAWFORD ST
Mailing Address - Street 2:STE 333
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23704-2816
Mailing Address - Country:US
Mailing Address - Phone:757-397-1345
Mailing Address - Fax:757-397-1346
Practice Address - Street 1:355 CRAWFORD ST
Practice Address - Street 2:STE 333
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-2816
Practice Address - Country:US
Practice Address - Phone:757-397-1345
Practice Address - Fax:757-397-1346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-27
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1276-02-006251C00000X
VAHCO-16850251E00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0160924525Medicaid
VA0157887552Medicaid
VA0160926140Medicaid