Provider Demographics
NPI:1790905297
Name:ARC THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:ARC THERAPY SERVICES LLC
Other - Org Name:BROOKDALE HOME HEALTH TUSCON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER, REGULATORY PRACTICES
Authorized Official - Prefix:
Authorized Official - First Name:DONNIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-564-8181
Mailing Address - Street 1:111 WESTWOOD PL
Mailing Address - Street 2:STE 400
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5057
Mailing Address - Country:US
Mailing Address - Phone:615-221-2250
Mailing Address - Fax:615-221-2280
Practice Address - Street 1:1880 E RIVER RD
Practice Address - Street 2:STE 200
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-5994
Practice Address - Country:US
Practice Address - Phone:520-219-1649
Practice Address - Fax:520-219-2390
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROOKDALE SENIOR LIVING INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-26
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA4238251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
037256Medicare Oscar/Certification