Active NPI
Ark of Life Home Health, LLC
- Home Health Agency
- Ephrata, PA
National Provider Identifier
1629476866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 05700501
- Legal business name
- ARK OF LIFE HOME HEALTH, LLC
- Practice address
- 7 Lauren LN
Ephrata, PA 17522-2574 - Phone
- (717) 682-3059
- NPI assigned
- Dec 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrey Bozhko
- Title
- Administrator
- Phone
- (717) 682-3059
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 05700501 | PA | Primary |
Addresses
Primary practice location
7 Lauren LN
Ephrata, PA 17522-2574
Mailing address
7 Lauren LN
Ephrata, PA 17522-2574
Phone (717) 682-3059
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- York, PA
- NPI 1164158358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418947200000",
"number": "1629476866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 LAUREN LN",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175222574",
"telephone_number": "717-682-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 LAUREN LN",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175222574",
"telephone_number": "717-682-3059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARK OF LIFE HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-19",
"last_updated": "2014-12-19",
"status": "A",
"authorized_official_last_name": "BOZHKO",
"authorized_official_first_name": "ANDREY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "717-682-3059",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "05700501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.