Provider Demographics
NPI:1508299405
Name:ARCADIA ADULT HOME CARE LLC
Entity Type:Organization
Organization Name:ARCADIA ADULT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABUKAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MAIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-920-0254
Mailing Address - Street 1:5425 E YALE ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-1711
Mailing Address - Country:US
Mailing Address - Phone:602-920-0254
Mailing Address - Fax:602-595-9847
Practice Address - Street 1:5425 E YALE ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-1711
Practice Address - Country:US
Practice Address - Phone:602-920-0254
Practice Address - Fax:602-595-9847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL8690H310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility