Organization Active NPI

Arc Therapy Services LLC

  • Community Based Hospice Care Agency
  • Minneapolis, MN
National Provider Identifier
1760734354
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ARC THERAPY SERVICES LLC
Practice address
7801 E Bush Lake Rd Ste 230
Minneapolis, MN 55439-3142
Phone
(952) 831-0193
NPI assigned
Oct 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Authorized official

Name
Donnis M. Evans
Title
Manager, Regulatory Practices
Phone
(615) 564-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

7801 E Bush Lake Rd Ste 230
Minneapolis, MN 55439-3142

Mailing address

111 Westwood PL
Brentwood, TN 37027-5021
Phone (615) 221-2250

Other names 1

  • Brookdale Hospice Minnesota Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 22, 2021 Change of OwnershipThis provider was the seller Caretenders HospiceCCN 241593, MN, NPI 1093382921

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1760734354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WESTWOOD PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275021",
            "telephone_number": "615-221-2250",
            "fax_number": "615-221-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 E BUSH LAKE RD STE 230",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393142",
            "telephone_number": "952-831-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DONNIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER, REGULATORY PRACTICES",
        "authorized_official_telephone_number": "615-564-8181"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Hospice Minnesota",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Hospice Minnesota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.