Healthcare Provider Details

I. General information

NPI: 1578739348
Provider Name (Legal Business Name): ARC RICHMOND HEIGHTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 10/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 HOMEWOOD DR
RICHMOND HEIGHTS OH
44143-2955
US

IV. Provider business mailing address

111 WESTWOOD PL SUITE 200
BRENTWOOD TN
37027-5021
US

V. Phone/Fax

Practice location:
  • Phone: 216-291-6140
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: BRYAN D RICHARDSON
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 615-221-2250