Provider Demographics
NPI:1942019492
Name:ARCHE HOME CARE LLC
Entity type:Organization
Organization Name:ARCHE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADESHOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBAGBAMIGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-803-9896
Mailing Address - Street 1:2300 BRIARWEST BLVD APT 4512
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5660
Mailing Address - Country:US
Mailing Address - Phone:346-803-9896
Mailing Address - Fax:
Practice Address - Street 1:2300 BRIARWEST BLVD APT 4512
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5660
Practice Address - Country:US
Practice Address - Phone:346-803-9896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty