Provider Demographics
NPI:1477371573
Name:ARKAVEN LLC
Entity type:Organization
Organization Name:ARKAVEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMBELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:OKUNADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-966-0621
Mailing Address - Street 1:411 N DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:WAUNAKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53597-2017
Mailing Address - Country:US
Mailing Address - Phone:817-966-0621
Mailing Address - Fax:
Practice Address - Street 1:411 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:WAUNAKEE
Practice Address - State:WI
Practice Address - Zip Code:53597-2017
Practice Address - Country:US
Practice Address - Phone:817-966-0621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-28
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health