Healthcare Provider Details

I. General information

NPI: 1992032650
Provider Name (Legal Business Name): ARCH WAY IN-HOME SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2009
Last Update Date: 02/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5316 PERSHING AVE STE 101
SAINT LOUIS MO
63112-1712
US

IV. Provider business mailing address

5316 PERSHING AVE STE 101
SAINT LOUIS MO
63112-1712
US

V. Phone/Fax

Practice location:
  • Phone: 314-367-2880
  • Fax:
Mailing address:
  • Phone: 314-367-2880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL STARKS
Title or Position: PRESIDENT
Credential:
Phone: 314-741-7039