Provider Demographics
NPI:1518796358
Name:OPEN ARMS HOME CARE LLC
Entity type:Organization
Organization Name:OPEN ARMS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-300-8577
Mailing Address - Street 1:4138 RUTLEDGE ST
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46408-2369
Mailing Address - Country:US
Mailing Address - Phone:219-300-8577
Mailing Address - Fax:219-806-4062
Practice Address - Street 1:4138 RUTLEDGE ST
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46408-2369
Practice Address - Country:US
Practice Address - Phone:219-300-8577
Practice Address - Fax:219-806-4062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No332U00000XSuppliersHome Delivered Meals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)