Join the ArchCare Provider Commmunity | ArchCare
English Chinese (Simplified) Chinese (Traditional) Spanish

Change text size: A A A

Join the ArchCare Provider Commmunity

Participation Request Form

Please complete the Provider Participation Request Form below. Once your request has been reviewed, you will be notified by an ArchCare Provider Relations Representative. If accepted, you will be required to complete a Credentialing Application, or apply through CAQH on the following website: You are required to submit a current copy of your W-9 with this form.

33 Irving Place, 11th Floor . New York, NY 10003 . Tel: 800-373-3177 . Fax: 646-417-7157 

Learn More

I am interested in ArchCare services and would like more information.

ArchCare offers a continuum of care to meet your healthcare needs.

Your privacy is important to us. Read our Privacy Policy

Please note that by clicking “Request Information,” I expressly

give permission for a sales agent from an ArchCare Medicare

or Medicaid plan to contact me.