Provider Demographics
NPI:1093554669
Name:ARCADIA ASSISTED LIVING FACILITY LLC
Entity type:Organization
Organization Name:ARCADIA ASSISTED LIVING FACILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WREN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, BSN, RN-BC
Authorized Official - Phone:682-772-0900
Mailing Address - Street 1:1910 PACIFIC AVE STE 6047
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-4559
Mailing Address - Country:US
Mailing Address - Phone:682-772-0900
Mailing Address - Fax:682-228-5838
Practice Address - Street 1:1910 PACIFIC AVE STE 6047
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-4559
Practice Address - Country:US
Practice Address - Phone:682-772-0900
Practice Address - Fax:682-228-5838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home