Provider Demographics
NPI:1659248441
Name:NEW ARK LOGISTICS, LLC
Entity type:Organization
Organization Name:NEW ARK LOGISTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEMT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BALLENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-758-3345
Mailing Address - Street 1:3477 MACKINAC ISLAND LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-6915
Mailing Address - Country:US
Mailing Address - Phone:919-758-3345
Mailing Address - Fax:
Practice Address - Street 1:3477 MACKINAC ISLAND LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-6915
Practice Address - Country:US
Practice Address - Phone:919-758-3345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW ARK LOGISTICS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-17
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Single Specialty