Noah'S Ark Home Healthcare,Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

013592 Issued in TX

Legal business name

NOAH'S ARK HOME HEALTHCARE,INC

Practice address

1201 N Watson Rd
Ste 297a
Arlington, TX 76006-6190

Phone

(817) 809-4880

Fax

(817) 393-4910

NPI assigned

Jul 13, 2010

Organization subpart

No

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

Authorized official

Name

Judith Abegley

Title

Administrator/Owner

Phone

(817) 809-4880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747620

Legal name

NOAH'S ARK HOME HEALTHCARE,INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 2, 2011

Last certification

Jan 29, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 13, 2010 in TX

Enrollment address

1201 N Watson Road
Ste 297a
Arlington, TX 76006-6221

Listed as

Noah'S Ark Home Healthcare IncCCN 747620

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Sep 2, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Pedro Daniel Paez, MD

  • General Practice Physician
  • Bedford, TX
  • NPI 1235765181

  Home health agency

  Care Compare affiliation
• Muzakeer Ahmed Shaik, M.D.

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1114969300

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1992017487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD",
            "address_2": "STE 297A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066190",
            "telephone_number": "817-809-4880",
            "fax_number": "817-393-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD",
            "address_2": "STE 297A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066190",
            "telephone_number": "817-809-4880",
            "fax_number": "817-393-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOAH'S ARK HOME HEALTHCARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "ABEGLEY",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "817-809-4880"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Asuquo Nkpanam, REGISTERED NURSE RN
• Janice Mary Nkrumah
• Chinyelu Nnabuenyi Chukwudebe, NP
• Ikenna Kizito Nnamani, MD
• Noah Healthcare, LLC
• Dana L Noble, MSPT
• Marjorie Heath Noble, MA, LPC, LMFT
• Spencer Noble
• Eurolonda Noel
• Mary T Noel, RNFA

• Home Health Agency in Arlington, TX
• Providers in Arlington, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.