Provider Demographics
NPI:1164077376
Name:ARMS WIDE OPEN LLC
Entity Type:Organization
Organization Name:ARMS WIDE OPEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:TARDANI
Authorized Official - Suffix:
Authorized Official - Credentials:HOME CARE SERVICES
Authorized Official - Phone:208-466-5898
Mailing Address - Street 1:16605 SADIE AVE
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:ID
Mailing Address - Zip Code:83607-1417
Mailing Address - Country:US
Mailing Address - Phone:208-353-2841
Mailing Address - Fax:
Practice Address - Street 1:134 3RD ST S
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-3715
Practice Address - Country:US
Practice Address - Phone:208-353-2841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care