Provider Demographics
NPI:1265712913
Name:OPEN ARMS CENTER, LLC
Entity type:Organization
Organization Name:OPEN ARMS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOMICILE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:305-610-4017
Mailing Address - Street 1:13899 BISCAYNE BLVD
Mailing Address - Street 2:# 223
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33181-1600
Mailing Address - Country:US
Mailing Address - Phone:305-244-0971
Mailing Address - Fax:
Practice Address - Street 1:13899 BISCAYNE BLVD
Practice Address - Street 2:# 223
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33181-1600
Practice Address - Country:US
Practice Address - Phone:305-244-0971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6766845251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management