Provider Demographics
NPI:1790080208
Name:OPEN ARMS HOMECARE SERVICES
Entity Type:Organization
Organization Name:OPEN ARMS HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-464-3110
Mailing Address - Street 1:351 HILLSIDE TER
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4702
Mailing Address - Country:US
Mailing Address - Phone:240-464-3110
Mailing Address - Fax:
Practice Address - Street 1:351 HILLSIDE TER
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-4702
Practice Address - Country:US
Practice Address - Phone:240-464-3110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health