Provider Demographics
NPI:1376883322
Name:ANGELS WITH OPEN ARMS
Entity Type:Organization
Organization Name:ANGELS WITH OPEN ARMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:JOI
Authorized Official - Last Name:MOPPINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-497-2779
Mailing Address - Street 1:6435 TUMBLING CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75241-5915
Mailing Address - Country:US
Mailing Address - Phone:214-497-2779
Mailing Address - Fax:
Practice Address - Street 1:6435 TUMBLING CREEK TRL
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75241-5915
Practice Address - Country:US
Practice Address - Phone:214-497-2779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANGELS WITH OPEN ARMS LIVING FACILITIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
320900000X
TX322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children