MEDICARE: R MACARTHUR CORPORATION

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	253Z00000X	In Home Supportive Care Agency	014700003	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	014700003	OTHER	CA	DEPARTMENT OF SOCIAL SERVICES

General Provider Information

NPI Number	:	1740733690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R MACARTHUR CORPORATION

Provider Business Mailing Address
First Line	:	303 W JOAQUIN AVE
Second Line	:	STE. 230
City	:	SAN LEANDRO
State	:	CA
Zip	:	94577-3642
Country	:	US
Telephone Number	:	510-686-9940
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 W JOAQUIN AVE
Second Line	:	STE. 230
City	:	SAN LEANDRO
State	:	CA
Zip	:	94577-3642
Country	:	US
Telephone Number	:	510-686-9940
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MS. RENEE MACARTHUR
Credential	:
Telephone Number	:	510-686-9940

Provider Enumeration Date	:	07/27/2016
Last Update Date	:	07/27/2016

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Directions to “R MACARTHUR CORPORATION ” Practice Location

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