Provider Demographics
NPI:1720357072
Name:ARCH HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ARCH HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JINESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-790-9787
Mailing Address - Street 1:34845 YUCAIPA BLVD
Mailing Address - Street 2:STE D
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-4268
Mailing Address - Country:US
Mailing Address - Phone:909-790-9787
Mailing Address - Fax:909-790-9757
Practice Address - Street 1:34845 YUCAIPA BLVD
Practice Address - Street 2:STE D
Practice Address - City:YUCAIPA
Practice Address - State:CA
Practice Address - Zip Code:92399-4268
Practice Address - Country:US
Practice Address - Phone:909-790-9787
Practice Address - Fax:909-790-9757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-15
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health