Basic Information
Provider Information
NPI: 1164572954
EntityType: 2
ReplacementNPI:  
OrganizationName: ARCADIA HEALTH SERVICES, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: ARCADIA HEALTH CARE
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 26777 CENTRAL PARK BLVD.,
Address2: SUITE 200
City: SOUTHFIELD
State: MI
PostalCode: 48072
CountryCode: US
TelephoneNumber: 8007338427
FaxNumber: 2483525189
Practice Location
Address1: 1650 SAND LAKE ROAD
Address2: STE, 301
City: ORLANDO
State: FL
PostalCode: 32809
CountryCode: US
TelephoneNumber: 4078529388
FaxNumber: 4078529389
Other Information
ProviderEnumerationDate: 01/12/2007
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SPARLING
AuthorizedOfficialFirstName: CATHY
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CHIEF OPERATING OFFICER
AuthorizedOfficialTelephone: 8007338427
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251J00000X  Y AgenciesNursing Care 

No ID Information.


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