Provider Demographics
NPI:1215244173
Name:ARCH CARE CONSULTANTS
Entity type:Organization
Organization Name:ARCH CARE CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE CASE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SHAIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CCM
Authorized Official - Phone:502-500-4113
Mailing Address - Street 1:2847 KY HIGHWAY 3003
Mailing Address - Street 2:
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-8207
Mailing Address - Country:US
Mailing Address - Phone:859-235-0102
Mailing Address - Fax:
Practice Address - Street 1:2847 KY HIGHWAY 3003
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-8207
Practice Address - Country:US
Practice Address - Phone:859-235-0102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY=========-10OtherBWC #