Provider Demographics
NPI:1639547896
Name:ARCAIDA HOME CARE & STAFFING
Entity type:Organization
Organization Name:ARCAIDA HOME CARE & STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LOCATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-223-2332
Mailing Address - Street 1:30310 FRONTIER RD
Mailing Address - Street 2:
Mailing Address - City:OAK RUN
Mailing Address - State:CA
Mailing Address - Zip Code:96069-9526
Mailing Address - Country:US
Mailing Address - Phone:530-472-3439
Mailing Address - Fax:
Practice Address - Street 1:1090 E CYPRESS AVE
Practice Address - Street 2:SUITE B
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1163
Practice Address - Country:US
Practice Address - Phone:530-223-2332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-04
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA506986310500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness