Provider Demographics
NPI:1992848642
Name:OPEN ARMS CARE CORPORATION
Entity Type:Organization
Organization Name:OPEN ARMS CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:WREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-254-4006
Mailing Address - Street 1:101 WESTPARK DR STE 140
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5031
Mailing Address - Country:US
Mailing Address - Phone:615-254-4006
Mailing Address - Fax:615-254-4008
Practice Address - Street 1:9253 SNOW HILL RD
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-9694
Practice Address - Country:US
Practice Address - Phone:423-344-3923
Practice Address - Fax:423-344-3953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL-323-121-300313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7447066Medicaid