Provider Demographics
NPI:1164769162
Name:OPEN ARMS & LOVING HANDS
Entity Type:Organization
Organization Name:OPEN ARMS & LOVING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAKESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:770-469-0700
Mailing Address - Street 1:4996 DEKALB WAY
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-4034
Mailing Address - Country:US
Mailing Address - Phone:770-469-0700
Mailing Address - Fax:770-469-0627
Practice Address - Street 1:4996 DEKALB WAY
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-4034
Practice Address - Country:US
Practice Address - Phone:770-469-0700
Practice Address - Fax:770-469-0627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067-R-0419251E00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care