Provider Demographics
NPI:1154099216
Name:OPEN ARMS CARE LLC
Entity Type:Organization
Organization Name:OPEN ARMS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MUSTAFA
Authorized Official - Middle Name:SHARIF
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:CEOD
Authorized Official - Phone:507-497-5292
Mailing Address - Street 1:931 MADISON AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-6995
Mailing Address - Country:US
Mailing Address - Phone:507-497-5292
Mailing Address - Fax:
Practice Address - Street 1:931 MADISON AVE STE 305
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-6995
Practice Address - Country:US
Practice Address - Phone:507-497-5292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health