Provider Demographics
NPI:1083088249
Name:ARC CARE AT HOME
Entity Type:Organization
Organization Name:ARC CARE AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MWANGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-307-4100
Mailing Address - Street 1:440 PLEASANT ST
Mailing Address - Street 2:STE B
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-8103
Mailing Address - Country:US
Mailing Address - Phone:617-307-4100
Mailing Address - Fax:
Practice Address - Street 1:440 PLEASANT ST
Practice Address - Street 2:STE B
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-8103
Practice Address - Country:US
Practice Address - Phone:617-307-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-25
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health