MEDICARE: ARK PROVISION ENTERPRISES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QD1600X	Developmental Disabilities Clinic/Center
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1598120156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARK PROVISION ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	17333 NW 62ND PL
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-4502
Country	:	US
Telephone Number	:	786-486-4026
Fax Number	:	305-826-3256

Provider Business Practice Location Address
First Line	:	5911 NW 173RD DR UNIT 11
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-5122
Country	:	US
Telephone Number	:	786-655-9992
Fax Number	:	786-734-8142

Authorized Official
Title or Position	:	CEO
Name	:	LUISA RAMIREZ
Credential	:	LCSW
Telephone Number	:	786-486-4026

Provider Enumeration Date	:	12/28/2015
Last Update Date	:	07/22/2021

Similar Medicare Providers

1578210316 — SWEET START COMMUNITY WELLNESS CENTER, INC.
Practice Location Address:

5911 NW 173RD DR UNIT 6
HIALEAH, FL
33015-5122

Practice Phone: 786-876-5198
Practice Fax: 786-907-4140

1659883577 — MIRNA CAROLINA PACHECO CACERES
Practice Location Address:

5911 NW 173RD DR UNIT 11
HIALEAH, FL
33015-5122

Practice Phone: 786-803-0112
Practice Fax:

1104452408 — A & L ADULT DAY CARE CORP.
Practice Location Address:

5911 NW 173RD DR UNIT 12
HIALEAH, FL
33015-5122

Practice Phone: 305-491-0062
Practice Fax:

1215512595 — VELOZ MENTAL HEALTH SOLUTIONS INC
Practice Location Address:

5911 NW 173RD DR UNIT 14
HIALEAH, FL
33015-5122

Practice Phone: 786-328-4856
Practice Fax: 813-477-1361

1013683440 — ARK PROVISION ENTERPRISES, INC.
Practice Location Address:

5911 NW 173RD DR UNIT 11
HIALEAH, FL
33015-5122

Practice Phone: 786-655-9992
Practice Fax: 786-734-8142

1477206183 — EMIL ALBERTO ALVAREZ
Practice Location Address:

5911 NW 173RD DR UNIT 11
HIALEAH, FL
33015-5122

Practice Phone: 786-655-9992
Practice Fax:

Directions to “ARK PROVISION ENTERPRISES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.