Provider Demographics
NPI:1952456733
Name:ARCVISTA HOME CARE, INC.
Entity Type:Organization
Organization Name:ARCVISTA HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, PRESIDENT, CEO ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEFINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-791-9180
Mailing Address - Street 1:5226 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-3750
Mailing Address - Country:US
Mailing Address - Phone:989-791-9180
Mailing Address - Fax:989-791-8195
Practice Address - Street 1:5226 STATE ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-3750
Practice Address - Country:US
Practice Address - Phone:989-791-9180
Practice Address - Fax:989-791-8195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237709Medicare Oscar/Certification