Provider Demographics
NPI:1598882169
Name:OPEN ARMS ADHC, INC.
Entity Type:Organization
Organization Name:OPEN ARMS ADHC, INC.
Other - Org Name:OPEN ARMS ADHC, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SHAREHOLDER
Authorized Official - Prefix:
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:YONO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-370-0023
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91951-0027
Mailing Address - Country:US
Mailing Address - Phone:619-420-1404
Mailing Address - Fax:
Practice Address - Street 1:301 E J ST
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-6223
Practice Address - Country:US
Practice Address - Phone:619-420-1404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care