MEDICARE: ARCHES HOME CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1164981932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCHES HOME CARE, INC.

Provider Business Mailing Address
First Line	:	308 E 4500 S STE 100A
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84107-4057
Country	:	US
Telephone Number	:	801-924-0950
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 E 4500 S STE 100A
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84107-4057
Country	:	US
Telephone Number	:	801-924-0950
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	AMBER L TUELLER
Credential	:
Telephone Number	:	208-207-2726

Provider Enumeration Date	:	03/19/2019
Last Update Date	:	05/27/2025

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Directions to “ARCHES HOME CARE, INC. ” Practice Location

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