Provider Demographics
NPI:1578116331
Name:OPEN ARMS & HEARTS HEALTH SERVICES
Entity Type:Organization
Organization Name:OPEN ARMS & HEARTS HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROYER
Authorized Official - Suffix:
Authorized Official - Credentials:CAC-AD, QMHP, ACS
Authorized Official - Phone:443-437-7128
Mailing Address - Street 1:1532 OCEAN HWY STE 102
Mailing Address - Street 2:
Mailing Address - City:POCOMOKE CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21851-3023
Mailing Address - Country:US
Mailing Address - Phone:443-437-7128
Mailing Address - Fax:443-437-7131
Practice Address - Street 1:1532 OCEAN HWY STE 101&102
Practice Address - Street 2:
Practice Address - City:POCOMOKE CITY
Practice Address - State:MD
Practice Address - Zip Code:21851-3023
Practice Address - Country:US
Practice Address - Phone:410-881-6151
Practice Address - Fax:302-309-0028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No251S00000XAgenciesCommunity/Behavioral Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD692180900Medicaid
MD907791000Medicaid