Provider Demographics
NPI:1407961550
Name:WITH OPEN ARMS HEALTHCARE, LLC
Entity Type:Organization
Organization Name:WITH OPEN ARMS HEALTHCARE, LLC
Other - Org Name:WITH OPEN ARMS HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD PRESIDENT OWNER/CEO/ALT. ADMI
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-994-9898
Mailing Address - Street 1:1300 N. 10TH ST
Mailing Address - Street 2:305
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4392
Mailing Address - Country:US
Mailing Address - Phone:956-994-9898
Mailing Address - Fax:956-994-9873
Practice Address - Street 1:1300 N. 10TH ST
Practice Address - Street 2:305
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4392
Practice Address - Country:US
Practice Address - Phone:956-994-9898
Practice Address - Fax:956-994-9873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001017899Medicaid
TX001017899Medicaid