Organization Active NPI

Arc Residential Care

Doing business as ARC Angels

  • In Home Supportive Care Agency
  • Clintonville, WI
National Provider Identifier
1346808409
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ARC RESIDENTIAL CARE
Doing business as
ARC Angels
Practice address
N10777 Hill Top Rd
Clintonville, WI 54929-9078
Phone
(920) 832-8032
Fax
(920) 832-3832
NPI assigned
Jun 4, 2019
Last updated
Jun 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jill Cassiani
Title
Ceo
Phone
(920) 832-8032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

N10777 Hill Top Rd
Clintonville, WI 54929-9078

Mailing address

PO Box 193
Clintonville, WI 54929-0193
Phone (920) 832-8032

Other names 1

  • ARC Angels Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1346808409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549290193",
            "telephone_number": "920-832-8032",
            "fax_number": "920-832-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N10777 HILL TOP RD",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549299078",
            "telephone_number": "920-832-8032",
            "fax_number": "920-832-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "CASSIANI",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-832-8032"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARC Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clintonville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.