MEDICARE: ARCHE HOME CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	374U00000X	Home Health Aide
3	376J00000X	Homemaker
4	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1942019492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCHE HOME CARE LLC

Provider Business Mailing Address
First Line	:	2300 BRIARWEST BLVD APT 4512
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-5660
Country	:	US
Telephone Number	:	346-803-9896
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 BRIARWEST BLVD APT 4512
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-5660
Country	:	US
Telephone Number	:	346-803-9896
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR/CO OWNER
Name	:	ADESHOLA OBAGBAMIGBE
Credential	:
Telephone Number	:	346-803-9896

Provider Enumeration Date	:	12/30/2024
Last Update Date	:	12/30/2024

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Directions to “ARCHE HOME CARE LLC ” Practice Location

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