Provider Demographics
NPI:1689261117
Name:OPEN ARMS CARE CENTER
Entity Type:Organization
Organization Name:OPEN ARMS CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:419-932-1446
Mailing Address - Street 1:2516 3RD ST NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44704-2302
Mailing Address - Country:US
Mailing Address - Phone:419-932-1446
Mailing Address - Fax:
Practice Address - Street 1:926 ROWLAND AVE NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44705-1058
Practice Address - Country:US
Practice Address - Phone:419-932-1446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness