Provider Demographics
NPI:1407382559
Name:ARSEMA INC
Entity Type:Organization
Organization Name:ARSEMA INC
Other - Org Name:AAA PERSONAL CARE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDU
Authorized Official - Middle Name:K
Authorized Official - Last Name:WORKNEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-771-1589
Mailing Address - Street 1:1450 S HAVANA ST STE 330
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4021
Mailing Address - Country:US
Mailing Address - Phone:303-577-3202
Mailing Address - Fax:720-532-0249
Practice Address - Street 1:1450 S HAVANA ST STE 330
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4021
Practice Address - Country:US
Practice Address - Phone:303-577-3202
Practice Address - Fax:720-532-0249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1004DQ251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO66973571Medicaid