Provider Demographics
NPI:1831462704
Name:OPEN ARMS ADULT DAY CLUB & SENIOR SERVICES LLC
Entity Type:Organization
Organization Name:OPEN ARMS ADULT DAY CLUB & SENIOR SERVICES LLC
Other - Org Name:OPEN ARMS HEALTH LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIGIACOMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-840-4128
Mailing Address - Street 1:PO BOX 96
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-0096
Mailing Address - Country:US
Mailing Address - Phone:908-840-4128
Mailing Address - Fax:
Practice Address - Street 1:18B MAPLE ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NJ
Practice Address - Zip Code:08833-2118
Practice Address - Country:US
Practice Address - Phone:908-840-4128
Practice Address - Fax:908-840-4129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care