Provider Demographics
NPI:1568501294
Name:ARCHER CONSULTATION SERVICES, INC.
Entity Type:Organization
Organization Name:ARCHER CONSULTATION SERVICES, INC.
Other - Org Name:ARCHER, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-993-8823
Mailing Address - Street 1:226 5TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH VERNON
Mailing Address - State:IN
Mailing Address - Zip Code:47265-1204
Mailing Address - Country:US
Mailing Address - Phone:800-346-7760
Mailing Address - Fax:866-346-6067
Practice Address - Street 1:226 5TH ST
Practice Address - Street 2:
Practice Address - City:NORTH VERNON
Practice Address - State:IN
Practice Address - Zip Code:47265-1204
Practice Address - Country:US
Practice Address - Phone:800-346-7760
Practice Address - Fax:866-346-6067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities