Provider Demographics
NPI:1083588396
Name:ARK OF SAFETY THERAPEUTIC HOMES LLC
Entity type:Organization
Organization Name:ARK OF SAFETY THERAPEUTIC HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-380-8167
Mailing Address - Street 1:18099 RIVER LANDING DR
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-3571
Mailing Address - Country:US
Mailing Address - Phone:225-380-8167
Mailing Address - Fax:
Practice Address - Street 1:18099 RIVER LANDING DR
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-3571
Practice Address - Country:US
Practice Address - Phone:225-380-8167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Multi-Specialty