Provider Demographics
NPI:1306862750
Name:ARCADIA HEALTH SERVICES OF MICHIGAN, INC.
Entity type:Organization
Organization Name:ARCADIA HEALTH SERVICES OF MICHIGAN, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARLING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:800-733-8427
Mailing Address - Street 1:20750 CIVIC CENTER DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-4152
Mailing Address - Country:US
Mailing Address - Phone:800-733-8427
Mailing Address - Fax:248-352-5189
Practice Address - Street 1:77 S 20TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-2991
Practice Address - Country:US
Practice Address - Phone:269-979-5299
Practice Address - Fax:269-965-5387
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARCADIA SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-15
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4831644OtherCHILDRENS SPEC HLTH SVCS
MIOE921OtherBLUE CROSS OF MICHIGAN