Provider Demographics
NPI:1134643968
Name:HUMAN ARC CORPORATION
Entity Type:Organization
Organization Name:HUMAN ARC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-821-2972
Mailing Address - Street 1:2010 W WHISPERING WIND DR STE 101
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-2847
Mailing Address - Country:US
Mailing Address - Phone:623-582-8722
Mailing Address - Fax:
Practice Address - Street 1:2010 W WHISPERING WIND DR STE 101
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-2847
Practice Address - Country:US
Practice Address - Phone:623-582-8722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTAURI HEALTH SOLUTIONS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-02
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty