Provider Demographics
NPI:1396367041
Name:ARHC ARCLRMI01 TRS LLC
Entity Type:Organization
Organization Name:ARHC ARCLRMI01 TRS LLC
Other - Org Name:ADDINGTON PLACE OF CLARKSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:442-325-4038
Mailing Address - Street 1:PO BOX 600
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-0600
Mailing Address - Country:US
Mailing Address - Phone:617-648-6814
Mailing Address - Fax:
Practice Address - Street 1:5700 WATER TOWER PL
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-2668
Practice Address - Country:US
Practice Address - Phone:617-648-6814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-15
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)