FAMILY ARK, INC. (NPI# 1215210075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215210075 |
| Entity Type | Organization |
| Organization Name | FAMILY ARK, INC. |
| Practice Address |
215 Rainbow Way Jeffersonville IN 47130-5374 |
| Mailing Address |
101 Noahs Ark Jeffersonville IN 47130-5373 |
| Practice Telephone | 8122828479 |
| Practice Fax Number | 8122828636 |
| Mailing Telephone | 8122828479 |
| Mailing Fax Number | 8122828636 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | MS. JEANEAN A JACOBS (CEO) |
| Authorized Official Telephone | 8122886800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 169063933 50084 | IN | Agencies |
| Street Address |
215 RAINBOW WAY |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-5374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881605442 | Donna L. Campbell | Nurse Practitioner | 215 Rainbow Way, Jeffersonville, IN 47130-5374 | 2006-08-10 |
| 1871050039 | Jacqueline Banet | Social Worker | 215 Rainbow Way, Jeffersonville, IN 47130-5374 | 2019-02-25 |
| 1649750548 | Rebecca Baker | Counselor | 215 Rainbow Way, Jeffersonville, IN 47130-5374 | 2018-08-20 |
| 1235642869 | Taylor Dowdy | Social Worker | 215 Rainbow Way, Jeffersonville, IN 47130-5374 | 2017-11-06 |
| 1942746862 | Brittany Burtraw | Social Worker | 215 Rainbow Way, Jeffersonville, IN 47130-5374 | 2017-01-17 |
| 1699139550 | Amanda Darlene Mae Chapman | Social Worker | 215 Rainbow Way, Jeffersonville, IN 47130-5374 | 2016-04-07 |
| 1992169916 | Kathleen P Gallagher | Psychologist | 215 Rainbow Way, Jeffersonville, IN 47130-5374 | 2016-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184906778 | Indiana Mentor | Foster Care Agency | 8925 N. Meridian Street, #250, Indianapolis, IN 46260 | 2011-09-09 |
| 1811200272 | Indiana Mentor | Foster Care Agency | 8925 N Meridian St Ste 250, Indianapolis, IN 46260-5372 | 2010-07-14 |
| 1659507010 | Second Baptist Church | Foster Care Agency | 3705 Kessler Blvd North Dr, Indianapolis, IN 46222-5800 | 2009-05-29 |
| 1689849283 | Villages of Indiana, Inc | Foster Care Agency | 612 E Boulevard, Kokomo, IN 46902-2271 | 2008-04-24 |
| 1801107941 | National Mentor Healthcare LLC | Foster Care Agency | 8925 N Meridian St, Ste. 250, Indianapolis, IN 46260-2386 | 2010-06-23 |
| 1124349048 | Indiana Mentor | Foster Care Agency | 8925 N Meridian St, Suite 250, Indianapolis, IN 46260-2386 | 2010-06-15 |
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.