Organization Active NPI

Ark Care Home, LLC

  • Assisted Living Facility
  • Palmdale, CA
National Provider Identifier
1487595138
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ARK CARE HOME, LLC
Practice address
37616 Ribbon LN
Palmdale, CA 93552-4031
Phone
(818) 415-2653
Fax
(661) 526-4066
NPI assigned
Apr 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2026

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

Authorized official

Name
Mr. Richard Mandac
Title
Owner/Administrator
Phone
(818) 415-2653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

37616 Ribbon LN
Palmdale, CA 93552-4031

Mailing address

37616 Ribbon LN
Palmdale, CA 93552-4031
Phone (818) 415-2653

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1775260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775260800000",
    "number": "1487595138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37616 RIBBON LN",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935524031",
            "telephone_number": "818-415-2653",
            "fax_number": "661-526-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37616 RIBBON LN",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935524031",
            "telephone_number": "818-415-2653",
            "fax_number": "661-526-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-04",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-04",
        "status": "A",
        "authorized_official_last_name": "MANDAC",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "818-415-2653",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2026; 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.