Provider Demographics
NPI:1093737876
Name:ARCADIA HOME OXYGEN & MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:ARCADIA HOME OXYGEN & MEDICAL EQUIPMENT
Other - Org Name:ARCADIA H.O.M.E.
Other - Org Type:Other Name
Authorized Official - Title/Position:VP ADMIN SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-352-7530
Mailing Address - Street 1:26777 CENTRAL PARK BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-4162
Mailing Address - Country:US
Mailing Address - Phone:248-352-7530
Mailing Address - Fax:248-352-5189
Practice Address - Street 1:728 PLEASANT ST STE 4
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-1219
Practice Address - Country:US
Practice Address - Phone:765-376-1612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARCADIA PRODUCTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-24
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies