Lark Residential Support, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

2550136 Issued in OH

Legal business name

LARK RESIDENTIAL SUPPORT, INC.

Practice address

6161 Busch Blvd Ste 66
Columbus, OH 43229-2548

Phone

(614) 785-9941

Fax

(614) 785-9947

NPI assigned

May 19, 2010

Last updated

Dec 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jovita S Lark

Title

Residential Director/Owner Operator

Phone

(614) 785-9941

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1548589252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 SINCLAIR RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295431",
            "telephone_number": "614-785-9941",
            "fax_number": "614-785-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD STE 66",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292548",
            "telephone_number": "614-785-9941",
            "fax_number": "614-785-9947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5026 Sinclair Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432295431",
            "country_code": "US",
            "telephone_number": "614-785-9941",
            "fax_number": "614-785-9947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LARK RESIDENTIAL SUPPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "LARK",
        "authorized_official_first_name": "JOVITA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "RESIDENTIAL DIRECTOR/OWNER OPERATOR",
        "authorized_official_telephone_number": "614-785-9941",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "2550136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2957466",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernest Larbi, RN
• Marjorie Lardner
• Amanda Lee-Zehner Lare, APRN-CNP
• Bryan Paul Large, DO
• Kelsey D Large, L.M.T.
• Karilyn T.M. Larkin, M.D.
• Viola Larkin
• Jade Larkins, PT, DPT
• Abrielle Laroche, LSW
• Lisa Danielle Laroche, C.D.C.A

• In Home Supportive Care Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.