Provider Demographics
NPI:1487068946
Name:ARCADIA PRIVATE CARE LLC
Entity type:Organization
Organization Name:ARCADIA PRIVATE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERTZOG
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN MHA
Authorized Official - Phone:610-336-8000
Mailing Address - Street 1:7248 TILGHMAN ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9355
Mailing Address - Country:US
Mailing Address - Phone:610-336-8000
Mailing Address - Fax:610-336-8001
Practice Address - Street 1:7248 TILGHMAN ST
Practice Address - Street 2:SUITE 160
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9355
Practice Address - Country:US
Practice Address - Phone:610-336-8000
Practice Address - Fax:610-336-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA25703601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care