Organization Active NPI

Noah's Ark Homecare, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Jefferson, GA
National Provider Identifier
1760488548
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
NOAH'S ARK HOMECARE, INC.
Practice address
1530 Rambler Inn Rd
Jefferson, GA 30549-5625
Phone
(706) 367-2280
Fax
(775) 242-1463
NPI assigned
Jun 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Michael Jay McCarthy, RRT
Title
Ceo
Phone
(706) 367-2280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X GA Primary

Addresses

Primary practice location

1530 Rambler Inn Rd
Jefferson, GA 30549-5625

Mailing address

1530 Rambler Inn Rd
Jefferson, GA 30549-5625
Phone (706) 367-2280

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760488548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 RAMBLER INN RD",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305495625",
            "telephone_number": "706-367-2280",
            "fax_number": "775-242-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 RAMBLER INN RD",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305495625",
            "telephone_number": "706-367-2280",
            "fax_number": "775-242-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOAH'S ARK HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-367-2280",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.