Arcadia Adult Family Home, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

A694000 Issued in WA

Legal business name

ARCADIA ADULT FAMILY HOME, LLC

Doing business as

Arcadia Home

Practice address

910 38TH St
Bellingham, WA 98229-3158

Phone

(360) 752-1655

Fax

(360) 756-0840

NPI assigned

Dec 17, 2014

Last updated

Dec 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Olga M Smirnova

Title

Owner, Administrator

Phone

(360) 739-8859

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Arcadia Home Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1639577984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 38TH ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982293158",
            "telephone_number": "360-752-1655",
            "fax_number": "360-756-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 38TH ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982293158",
            "telephone_number": "360-752-1655",
            "fax_number": "360-756-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA ADULT FAMILY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "SMIRNOVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "360-739-8859",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WA",
            "license": "A694000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SERVICE PAYMENT SYSTEM (SSPS)",
            "identifier": "449929",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449929",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcadia Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Veronica A Arellano, LMP
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• Nursing Facility/Intermediate Care Facility in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Nursing Facility/Intermediate Care Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.