Healthcare Provider Details
I. General information
NPI: 1164981932
Provider Name (Legal Business Name): ARCHES HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/19/2019
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
308 E 4500 S STE 100A
MURRAY UT
84107-4057
US
IV. Provider business mailing address
308 E 4500 S STE 100A
MURRAY UT
84107-4057
US
V. Phone/Fax
- Phone: 801-924-0950
- Fax:
- Phone: 801-924-0950
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMBER
L
TUELLER
Title or Position: SECRETARY
Credential:
Phone: 208-207-2726