Healthcare Provider Details

I. General information

NPI: 1053345249
Provider Name (Legal Business Name): ARCADIA HOME OXYGEN & MEDICAL EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

868 HIGHWAY 15 S
JACKSON KY
41339-9602
US

IV. Provider business mailing address

26777 CENTRAL PARK BLVD SUITE 200
SOUTHFIELD MI
48076-4162
US

V. Phone/Fax

Practice location:
  • Phone: 866-666-6831
  • Fax: 606-666-8312
Mailing address:
  • Phone: 248-352-7530
  • Fax: 248-352-5189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number128972
License Number StateKY

VIII. Authorized Official

Name: CATHY SPARLING
Title or Position: VP ADMIN SERVICES
Credential:
Phone: 248-352-7530