Provider Demographics
NPI:1073337895
Name:ARCADIA OPERATIONS LLC
Entity type:Organization
Organization Name:ARCADIA OPERATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOISES
Authorized Official - Middle Name:
Authorized Official - Last Name:BERCOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-450-1090
Mailing Address - Street 1:8202 FLORENCE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-3937
Mailing Address - Country:US
Mailing Address - Phone:562-450-1090
Mailing Address - Fax:
Practice Address - Street 1:607 W DUARTE RD
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7332
Practice Address - Country:US
Practice Address - Phone:562-450-1090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility