Provider Demographics
NPI:1093982514
Name:OPEN ARMS OF MINNESOTA, INC.
Entity Type:Organization
Organization Name:OPEN ARMS OF MINNESOTA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR DR FINANCE / ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-767-7342
Mailing Address - Street 1:2500 BLOOMINGTON AVE. SOUTH
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404
Mailing Address - Country:US
Mailing Address - Phone:612-872-1152
Mailing Address - Fax:612-872-0866
Practice Address - Street 1:2500 BLOOMINGTON AVE. SOUTH
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404
Practice Address - Country:US
Practice Address - Phone:612-872-1152
Practice Address - Fax:612-872-0866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNES35270332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals