MEDICARE: ARCADIA HOME OXYGEN & MEDICAL EQUIPMENT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		MI

General Provider Information

NPI Number	:	1093737876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCADIA HOME OXYGEN & MEDICAL EQUIPMENT

Provider Business Mailing Address
First Line	:	26777 CENTRAL PARK BLVD
Second Line	:	SUITE 200
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-4162
Country	:	US
Telephone Number	:	248-352-7530
Fax Number	:	248-352-5189

Provider Business Practice Location Address
First Line	:	728 PLEASANT ST STE 4
Second Line	:
City	:	SAINT JOSEPH
State	:	MI
Zip	:	49085-1219
Country	:	US
Telephone Number	:	765-376-1612
Fax Number	:

Authorized Official
Title or Position	:	VP ADMIN SERVICES
Name	:	CATHY SPARLING
Credential	:
Telephone Number	:	248-352-7530

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/18/2007

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