Organization Active NPI

The Ark Haven

  • In Home Supportive Care Agency
  • San Tan Valley, AZ
National Provider Identifier
1245148618
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
THE ARK HAVEN
Practice address
174 W Hackberry Ave
San Tan Valley, AZ 85140-7954
Phone
(928) 800-0662
Fax
(928) 470-9284
NPI assigned
Aug 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Elisa Cobb, MBA
Title
Executive Director
Phone
(928) 800-0662

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

174 W Hackberry Ave
San Tan Valley, AZ 85140-7954

Mailing address

21168 E Ocotillo Rd # 1273
Queen Creek, AZ 85142-8175
Phone (928) 800-0662

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1245148618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21168 E OCOTILLO RD # 1273",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428175",
            "telephone_number": "928-800-0662",
            "fax_number": "928-470-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 W HACKBERRY AVE",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407954",
            "telephone_number": "928-800-0662",
            "fax_number": "928-470-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARK HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-800-0662",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.