Provider Demographics
NPI:1740318435
Name:ARCY HEALTHCARE, LLC
Entity type:Organization
Organization Name:ARCY HEALTHCARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:STAPLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-293-1515
Mailing Address - Street 1:700 PARKER SQ
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-7428
Mailing Address - Country:US
Mailing Address - Phone:469-293-1515
Mailing Address - Fax:469-293-1530
Practice Address - Street 1:700 PARKER SQ
Practice Address - Street 2:SUITE 105
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-7428
Practice Address - Country:US
Practice Address - Phone:469-293-1515
Practice Address - Fax:469-293-1530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001016623Medicaid
TX001016623Medicaid