Provider Demographics
NPI:1184033862
Name:OPEN ARMS HOME CARE LLC
Entity Type:Organization
Organization Name:OPEN ARMS HOME CARE LLC
Other - Org Name:OPEN ARMS HOME CARE LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALYSIA
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:CRAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-442-0600
Mailing Address - Street 1:3202 SUNSET AVENUE
Mailing Address - Street 2:SUITE E
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-3500
Mailing Address - Country:US
Mailing Address - Phone:252-442-0600
Mailing Address - Fax:252-442-0429
Practice Address - Street 1:3202 SUNSET AVE
Practice Address - Street 2:SUITE E
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-3581
Practice Address - Country:US
Practice Address - Phone:252-442-0600
Practice Address - Fax:252-442-0429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3798251E00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care