Provider Demographics
NPI:1730286949
Name:ARCADIA ACRES, INC.
Entity Type:Organization
Organization Name:ARCADIA ACRES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:740-385-2461
Mailing Address - Street 1:20017 STATE ROUTE 93 S
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:OH
Mailing Address - Zip Code:43138-8781
Mailing Address - Country:US
Mailing Address - Phone:740-385-2461
Mailing Address - Fax:740-385-8499
Practice Address - Street 1:20017 STATE ROUTE 93 S
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:OH
Practice Address - Zip Code:43138-8781
Practice Address - Country:US
Practice Address - Phone:740-385-2461
Practice Address - Fax:740-385-8499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1206314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0239692Medicaid
OH36-6017Medicare ID - Type Unspecified