MEDICARE: ARCH WAY IN-HOME 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	374U00000X	Home Health Aide
2	372500000X	Chore Provider

General Provider Information

NPI Number	:	1992032650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCH WAY IN-HOME SERVICES, INC.

Provider Business Mailing Address
First Line	:	5316 PERSHING AVE STE 101
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63112-1712
Country	:	US
Telephone Number	:	314-367-2880
Fax Number	:

Provider Business Practice Location Address
First Line	:	5316 PERSHING AVE STE 101
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63112-1712
Country	:	US
Telephone Number	:	314-367-2880
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MICHAEL STARKS
Credential	:
Telephone Number	:	314-741-7039

Provider Enumeration Date	:	11/17/2009
Last Update Date	:	02/10/2010

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Directions to “ARCH WAY IN-HOME SERVICES, INC. ” Practice Location

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