Provider Demographics
NPI:1891009668
Name:ARCADIA HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ARCADIA HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABDOUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHMOHOMED
Authorized Official - Suffix:
Authorized Official - Credentials:MPH/HSA
Authorized Official - Phone:801-973-2456
Mailing Address - Street 1:1751 ALEXANDER ST
Mailing Address - Street 2:SUITE 30
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-7600
Mailing Address - Country:US
Mailing Address - Phone:801-973-2456
Mailing Address - Fax:866-209-2984
Practice Address - Street 1:1751 ALEXANDER ST
Practice Address - Street 2:SUITE 30
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-7600
Practice Address - Country:US
Practice Address - Phone:801-973-2456
Practice Address - Fax:866-209-2984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health