Provider Demographics
NPI:1881037315
Name:EMBARK HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:EMBARK HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROBBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-808-7173
Mailing Address - Street 1:1100 TOWN PLAZA CT STE 2020
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-6231
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1100 TOWN PLAZA CT STE 2020
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-6231
Practice Address - Country:US
Practice Address - Phone:407-808-7173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-15
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health