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General NPI Number Information
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NPI Number | 1437924180
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Entity Type | Organization
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Legal Business Name | NOAH'S ARK HOMECARE AND RESIDENTIAL SERVICES
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 02/18/2024
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Provider Practice Location Address
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Address Line | 6658 TWIG PL UNIT C
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City | INDIANAPOLIS
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State | IN
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Zip | 46221-1747
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Country | US
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Telephone | 317-964-3308
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Fax |
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Provider Business Mailing Address
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Address Line | 6658 TWIG PL UNIT C
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City | INDIANAPOLIS
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State | IN
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Zip | 46221-1747
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Country | US
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Telephone | 317-964-3308
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEVIN CRIDER
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Credential | CMA
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Telephone | 317-964-3308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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