Provider Demographics
NPI:1033724901
Name:AR HEALTHCARE
Entity Type:Organization
Organization Name:AR HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAKEYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:630-931-0188
Mailing Address - Street 1:11 E MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-1925
Mailing Address - Country:US
Mailing Address - Phone:630-931-0188
Mailing Address - Fax:630-931-0192
Practice Address - Street 1:11 E MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-1925
Practice Address - Country:US
Practice Address - Phone:630-931-0188
Practice Address - Fax:630-931-0192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care