Provider Demographics
NPI:1720433105
Name:OPEN ARMS CAREGIVERS
Entity Type:Organization
Organization Name:OPEN ARMS CAREGIVERS
Other - Org Name:HOME HEALTH AIDE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CAREGIVER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-315-1084
Mailing Address - Street 1:6839 GILFORD DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38141-7807
Mailing Address - Country:US
Mailing Address - Phone:901-315-1084
Mailing Address - Fax:
Practice Address - Street 1:6839 GILFORD DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38141-7807
Practice Address - Country:US
Practice Address - Phone:901-315-1084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN160002010251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health