Noah'S Ark Multi-Service Center

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

NOAH'S ARK MULTI-SERVICE CENTER

Practice address

10903 Highland Meadow VLG Dr Apt 404
Houston, TX 77089-5364

Phone

(281) 607-2019

NPI assigned

Nov 23, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Sherronda TisdaleNPI 1033855788

Title

President/Owner

Phone

(832) 271-9029

Specialties & licenses 2

Addresses

Other names 1

• NOAH'S ARK MULTI-SERVICE CENTER Doing business as

Tax ID family

Noah'S Ark Multi-Service Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Noah'S Ark Multi-Service Center

  • Non-emergency Medical Transport (VAN)
  • Mansura, LA
  • NPI 1104410505
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherronda Tisdale

  • Non-emergency Medical Transport (VAN)
  • Lake Charles, LA
  • NPI 1033855788
  NPD Authorized official

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1366046260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 HIGHLAND MEADOW VLG DR APT 404",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770895364",
            "telephone_number": "281-607-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 HIGHLAND MEADOW VLG DR APT 404",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770895364",
            "telephone_number": "281-607-2019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7418 William St",
            "address_purpose": "LOCATION",
            "city": "Mansura",
            "state": "LA",
            "postal_code": "713504612",
            "country_code": "US",
            "telephone_number": "832-271-9029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2813 Sara St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757010607",
            "country_code": "US",
            "telephone_number": "832-271-9029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOAH'S ARK MULTI-SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2022-04-18",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "SHERRONDA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "832-271-9029",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOAH'S ARK MULTI-SERVICE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NOAH'S ARK MULTI-SERVICE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Houston, TX
• Providers in Houston, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.