Organization Active NPI

Ssac, LLC

Doing business as Arcadia HOME

  • Durable Medical Equipment & Medical Supplies
  • Jackson, KY
National Provider Identifier
1881843407
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
128972 Issued in KY
Legal business name
SSAC, LLC
Doing business as
Arcadia HOME
Practice address
868 Highway 15 S
Jackson, KY 41339-9602
Phone
(866) 666-8310
NPI assigned
Sep 18, 2008
Last updated
Oct 13, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ARCADIA PRODUCTS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
Cathy Sparling
Title
Sr. VP Administrative Services
Phone
(248) 352-7530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 128972 KY Primary

Addresses

Primary practice location

868 Highway 15 S
Jackson, KY 41339-9602

Mailing address

26777 Central Park Blvd
Suite 200
Southfield, MI 48076-4162
Phone (248) 352-7530

Other identifiers 1

IdentifierTypeStateIssuer
90011289MedicaidKY

Other names 1

  • Arcadia HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arcadia Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1881843407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 CENTRAL PARK BLVD",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764162",
            "telephone_number": "248-352-7530",
            "fax_number": "248-352-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 HIGHWAY 15 S",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413399602",
            "telephone_number": "866-666-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSAC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARCADIA PRODUCTS, INC.",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "SPARLING",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "SR. VP ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "248-352-7530"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "128972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90011289",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcadia HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.