Friendship Ark, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FRIENDSHIP ARK, INC.

Practice address

130 S Sheldon Ave
Suite #203
Ames, IA 50014-7287

Phone

(515) 292-9556

Fax

(515) 268-8897

NPI assigned

Jul 13, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Ellis

Title

Executive Director

Phone

(515) 292-9556

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1194177220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S SHELDON AVE",
            "address_2": "SUITE #203",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147287",
            "telephone_number": "515-292-9556",
            "fax_number": "515-268-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S SHELDON AVE",
            "address_2": "SUITE #203",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147287",
            "telephone_number": "515-292-9556",
            "fax_number": "515-268-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP ARK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "515-292-9556"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000204834",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynn Frederick, PA-C
• Marvin Kirk Freeburg, D,D,S,
• Kyle Freeman, M.D.
• Sonja Ann Frette, CADC
• James Andrew Friederich, M.D.
• Ashely Frieswyk, PSYD
• Rebecca Fritzsche, MD
• Mike Frohwein
• Annabella Grace Fuchs
• Daniel P. Fulton, MD

• In Home Supportive Care Agency in Ames, IA
• Providers in Ames, IA by specialty
• In Home Supportive Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.