Organization Active NPI

Ark Above Home Health Agency, LLC.

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1710155023
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012267 Issued in TX
Legal business name
ARK ABOVE HOME HEALTH AGENCY, LLC.
Practice address
5409 N Jim Miller Rd
Suite 203B
Dallas, TX 75227-1542
Phone
(214) 320-7200
Fax
(214) 320-7203
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Peggy Renee Chandler
Title
Administrator
Phone
(214) 320-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 012267 TX Primary

Addresses

Primary practice location

5409 N Jim Miller Rd
Suite 203B
Dallas, TX 75227-1542

Mailing address

5409 N Jim Miller Rd
Suite 203B
Dallas, TX 75227-1542
Phone (214) 320-7200

Other identifiers 1

IdentifierTypeStateIssuer
012267OtherTXLICENSE

National Provider Directory

National Provider Directory

Locations

5409 N Jim Miller Rd
Ste 203B
Dallas, TX 75227
Phone (214) 320-7200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1710155023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 N JIM MILLER RD",
            "address_2": "SUITE 203B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752271542",
            "telephone_number": "214-320-7200",
            "fax_number": "214-320-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 N JIM MILLER RD",
            "address_2": "SUITE 203B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752271542",
            "telephone_number": "214-320-7200",
            "fax_number": "214-320-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK ABOVE HOME HEALTH AGENCY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-320-7200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "012267",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.