Provider Demographics
NPI:1154813301
Name:ARC PERSONAL CARE SERVICES AND TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ARC PERSONAL CARE SERVICES AND TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUDRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMENTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-523-0259
Mailing Address - Street 1:2144 MARKET GARDEN LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-8524
Mailing Address - Country:US
Mailing Address - Phone:859-523-0259
Mailing Address - Fax:859-523-0259
Practice Address - Street 1:667 GRAVISS CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-4136
Practice Address - Country:US
Practice Address - Phone:859-971-0210
Practice Address - Fax:859-971-0210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-04
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Yes251E00000XAgenciesHome Health