Provider Demographics
NPI:1396434270
Name:OPEN ARMS HEALTHCARE SERVICES,LLC
Entity type:Organization
Organization Name:OPEN ARMS HEALTHCARE SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BOLAJI
Authorized Official - Middle Name:FOLASADE
Authorized Official - Last Name:ADEDEJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-640-0511
Mailing Address - Street 1:5424 BRIXHAM CT
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-1921
Mailing Address - Country:US
Mailing Address - Phone:240-640-0511
Mailing Address - Fax:
Practice Address - Street 1:5424 BRIXHAM CT
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-1921
Practice Address - Country:US
Practice Address - Phone:240-640-0511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities