Provider Demographics
NPI:1740044213
Name:ARKSAA HOME HEALTH LLC
Entity type:Organization
Organization Name:ARKSAA HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AVANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-800-4774
Mailing Address - Street 1:4900 AIRPORT PKWY UNIT 9
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3800
Mailing Address - Country:US
Mailing Address - Phone:972-800-4774
Mailing Address - Fax:
Practice Address - Street 1:4900 AIRPORT PKWY UNIT 9
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3800
Practice Address - Country:US
Practice Address - Phone:972-800-4774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health