Family Ark

Organization Active NPI Community/Behavioral Health Agency · Jeffersonville, IN

NPI 1861850232 · NPPES record last updated Feb 4, 2016

Key facts

NPI
1861850232
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
FAMILY ARK
Practice address
101 Noah'S LN
Jeffersonville, IN 47130
Phone
(812) 282-8479
NPI assigned
Feb 1, 2016
Organization subpart
No

Authorized official

Name
Ms. Joann B Brown
Title
Billing Manager
Phone
(812) 282-8479

Practitioners 5

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

101 Noah'S LN
Jeffersonville, IN 47130

Mailing address

101 Noah'S LN
Jeffersonville, IN 47130
Phone (812) 282-8479

Other names

  • Regional Youth Service Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 4, 2016.

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1861850232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NOAH'S LN",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130",
            "telephone_number": "812-282-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NOAH'S LN",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130",
            "telephone_number": "812-282-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "812-282-8479",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Youth Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jeffersonville, IN

All providers in Jeffersonville, IN · Community/Behavioral Health Agency in Indiana

Sources for this page

Verify at the official NPI Registry.