MEDICARE: RHYLANS ARK SUPPORT SERVICES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251F00000X	Home Infusion Agency
3	261QD1600X	Developmental Disabilities Clinic/Center
4	291U00000X	Clinical Medical Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952847261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHYLANS ARK SUPPORT SERVICES INC

Provider Business Mailing Address
First Line	:	1800 PEMBROOK DR STE 300
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32810-6378
Country	:	US
Telephone Number	:	888-351-1001
Fax Number	:	888-722-8084

Provider Business Practice Location Address
First Line	:	801 W STATE ROAD 436 STE 2027
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-3053
Country	:	US
Telephone Number	:	888-351-1001
Fax Number	:	888-722-8084

Authorized Official
Title or Position	:	CEO
Name	:	AMBER N EADY
Credential	:
Telephone Number	:	888-351-1001

Provider Enumeration Date	:	01/10/2017
Last Update Date	:	03/15/2022

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