MEDICARE: NOAH'S ARK HOMECARE AND RESIDENTIAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	374U00000X	Home Health Aide
2	376J00000X	Homemaker
3	251S00000X	Community/Behavioral Health Agency
4	251E00000X	Home Health Agency
5	3747P1801X	Personal Care Attendant
6	251G00000X	Community Based Hospice Care Agency
7	372600000X	Adult Companion
8	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1437924180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOAH'S ARK HOMECARE AND RESIDENTIAL SERVICES

Provider Business Mailing Address
First Line	:	801 SHELBY ST STE LL4
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46203-1163
Country	:	US
Telephone Number	:	317-964-3308
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 SHELBY ST STE LL4
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46203-1163
Country	:	US
Telephone Number	:	317-964-3308
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DEVIN CRIDER
Credential	:	CMA
Telephone Number	:	317-964-3308

Provider Enumeration Date	:	11/21/2023
Last Update Date	:	03/23/2026

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