Basic Information
| Provider Information | |||||||||
| NPI: | 1639547896 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ARCAIDA HOME CARE & STAFFING | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30310 FRONTIER RD | ||||||||
| Address2: | |||||||||
| City: | OAK RUN | ||||||||
| State: | CA | ||||||||
| PostalCode: | 960699526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5304723439 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1090 E CYPRESS AVE | ||||||||
| Address2: | SUITE B | ||||||||
| City: | REDDING | ||||||||
| State: | CA | ||||||||
| PostalCode: | 960021163 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5302232332 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/04/2015 | ||||||||
| LastUpdateDate: | 09/04/2015 | ||||||||
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| AuthorizedOfficialLastName: | GRAHAM | ||||||||
| AuthorizedOfficialFirstName: | DANIELLE | ||||||||
| AuthorizedOfficialMiddleName: | LEE | ||||||||
| AuthorizedOfficialTitleorPosition: | LOCATION MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 5302232332 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 310500000X | 506986 | CA | Y | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mental Illness |
No ID Information.