Provider Demographics
NPI:1710327093
Name:OPEN ARMS ADULT SENIOR COMPANIONSHIP SERVICE
Entity Type:Organization
Organization Name:OPEN ARMS ADULT SENIOR COMPANIONSHIP SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCHINITA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAVON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-488-4605
Mailing Address - Street 1:530 PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-3330
Mailing Address - Country:US
Mailing Address - Phone:517-488-4605
Mailing Address - Fax:
Practice Address - Street 1:530 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-3330
Practice Address - Country:US
Practice Address - Phone:517-488-4605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty