Provider Demographics
NPI:1407221807
Name:OPEN ARMS LINK
Entity Type:Organization
Organization Name:OPEN ARMS LINK
Other - Org Name:OPEN ARMS LINK LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SIMBARASHE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIDUMA
Authorized Official - Suffix:
Authorized Official - Credentials:PROVIDER
Authorized Official - Phone:517-455-8300
Mailing Address - Street 1:4700 S HAGADORN RD STE 107A
Mailing Address - Street 2:107 A
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-5354
Mailing Address - Country:US
Mailing Address - Phone:517-203-5807
Mailing Address - Fax:517-253-7566
Practice Address - Street 1:4700 S HAGADORN RD STE 107A
Practice Address - Street 2:107 A
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-5354
Practice Address - Country:US
Practice Address - Phone:517-203-5807
Practice Address - Fax:517-253-7566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-10
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health