Provider Demographics
NPI:1497091466
Name:OPEN ARMS AGENCY
Entity Type:Organization
Organization Name:OPEN ARMS AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILER-STOLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-917-6185
Mailing Address - Street 1:360 S REYNOLDS RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-5999
Mailing Address - Country:US
Mailing Address - Phone:419-917-6185
Mailing Address - Fax:567-455-6431
Practice Address - Street 1:360 S REYNOLDS RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-5999
Practice Address - Country:US
Practice Address - Phone:419-917-6185
Practice Address - Fax:567-455-6431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-20
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4803761251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6722Medicaid
OH6722Medicare PIN