Provider Demographics
NPI:1073813473
Name:ARC THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:ARC THERAPY SERVICES LLC
Other - Org Name:BROOKDALE THERAPY MARYVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER, REGULATORY PRACTICES
Authorized Official - Prefix:
Authorized Official - First Name:DONNIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-564-8181
Mailing Address - Street 1:111 WESTWOOD PL
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5021
Mailing Address - Country:US
Mailing Address - Phone:615-221-2250
Mailing Address - Fax:
Practice Address - Street 1:1869 CREST RD
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-4304
Practice Address - Country:US
Practice Address - Phone:865-984-6561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROOKDALE SENIOR LIVING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-01
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN446706Medicare Oscar/Certification