Provider Demographics
NPI:1710543616
Name:OPEN ARMS TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:OPEN ARMS TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:THELMA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAMPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-339-0037
Mailing Address - Street 1:1414 S GREEN RD STE 306
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-3937
Mailing Address - Country:US
Mailing Address - Phone:216-731-8566
Mailing Address - Fax:216-744-1777
Practice Address - Street 1:1414 S GREEN RD STE 306
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-3937
Practice Address - Country:US
Practice Address - Phone:216-731-8566
Practice Address - Fax:216-744-1777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2750803Medicaid