Provider Demographics
NPI:1134145774
Name:ARCADIA HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:ARCADIA HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:BURCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-733-8427
Mailing Address - Street 1:20750 CIVIC CENTER DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-4152
Mailing Address - Country:US
Mailing Address - Phone:800-733-8427
Mailing Address - Fax:248-352-5189
Practice Address - Street 1:2000 AUBURN DR
Practice Address - Street 2:SUITE 200
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4314
Practice Address - Country:US
Practice Address - Phone:216-816-6706
Practice Address - Fax:216-816-6981
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARCADIA SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-15
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH55-1818531OtherPDA WAIVER PROGRAM
OH497783OtherOH DEPT OF AGING
OH0849327OtherMEDICAID DISAB & MED FRAG
OH55-1818531OtherPDA WAIVER PROGRAM