Provider Demographics
NPI:1679816243
Name:OPEN ARMS HEALTH SYSTEM, LLC
Entity Type:Organization
Organization Name:OPEN ARMS HEALTH SYSTEM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-254-4006
Mailing Address - Street 1:6 CADILLAC DR
Mailing Address - Street 2:SUITE 350
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5080
Mailing Address - Country:US
Mailing Address - Phone:615-254-4006
Mailing Address - Fax:
Practice Address - Street 1:7325 OAK RIDGE HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37931-3494
Practice Address - Country:US
Practice Address - Phone:615-254-4006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPEN ARMS CARE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities