MEDICARE: THE ARK HEALTHCARE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1619151743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ARK HEALTHCARE INC

Provider Business Mailing Address
First Line	:	11000 FONDREN RD
Second Line	:	B101
City	:	HOUSTON
State	:	TX
Zip	:	77096-5513
Country	:	US
Telephone Number	:	713-776-2245
Fax Number	:	713-776-2406

Provider Business Practice Location Address
First Line	:	11000 FONDREN RD
Second Line	:	B101
City	:	HOUSTON
State	:	TX
Zip	:	77096-5513
Country	:	US
Telephone Number	:	713-776-2245
Fax Number	:	713-776-2406

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. VICTORIA N EMMANUEL
Credential	:	RN
Telephone Number	:	713-776-2245

Provider Enumeration Date	:	12/26/2007
Last Update Date	:	12/26/2007

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Directions to “THE ARK HEALTHCARE INC ” Practice Location

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