Provider Demographics
NPI:1124044714
Name:ARCADIA HEALTH SERVICES, IC.
Entity Type:Organization
Organization Name:ARCADIA HEALTH SERVICES, IC.
Other - Org Name:ARCADIA HOME CARE & STAFFING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARLING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:800-733-8427
Mailing Address - Street 1:20750 CIVIC CENTER DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-4152
Mailing Address - Country:US
Mailing Address - Phone:800-733-8427
Mailing Address - Fax:248-352-5189
Practice Address - Street 1:1810 W FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47712-5109
Practice Address - Country:US
Practice Address - Phone:812-423-4327
Practice Address - Fax:812-423-4634
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARCADIA SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-15
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200116110BOtherMED WAIVER PROGRAM
IN750106OtherSW IN REG COUNCIL ON AGIN
IN200397640AOtherMEDICAID AGED & DISABLED
IN200397640AOtherMEDICAID TBI WAIVER