MEDICARE: ARCADIA HEALTH SERVICES, INC.

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	251E00000X	Home Health Agency	HC2812	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164448775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCADIA HEALTH SERVICES, INC.

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	:	800-733-8427
Fax Number	:	248-352-5189

Provider Business Practice Location Address
First Line	:	1408 ARENDELL ST # B
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-4036
Country	:	US
Telephone Number	:	252-727-0127
Fax Number	:	252-726-8900

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MS. CATHY WEISS SPARLING
Credential	:
Telephone Number	:	800-733-8427

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	08/22/2020

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