Provider Demographics
NPI:1992017487
Name:NOAH'S ARK HOME HEALTHCARE,INC
Entity Type:Organization
Organization Name:NOAH'S ARK HOME HEALTHCARE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:ABEGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-809-4880
Mailing Address - Street 1:1201 N WATSON RD
Mailing Address - Street 2:STE 297A
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-6190
Mailing Address - Country:US
Mailing Address - Phone:817-809-4880
Mailing Address - Fax:817-393-4910
Practice Address - Street 1:1201 N WATSON RD
Practice Address - Street 2:STE 297A
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-6190
Practice Address - Country:US
Practice Address - Phone:817-809-4880
Practice Address - Fax:817-393-4910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013592251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747620Medicare Oscar/Certification