Provider Demographics
NPI:1881461028
Name:OPEN ARMS HOME HEALTH CARE AGENCY LLC
Entity type:Organization
Organization Name:OPEN ARMS HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DIVONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:531-484-9028
Mailing Address - Street 1:3942 N 66TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-2551
Mailing Address - Country:US
Mailing Address - Phone:531-484-9028
Mailing Address - Fax:402-256-6651
Practice Address - Street 1:3942 N 66TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-2551
Practice Address - Country:US
Practice Address - Phone:531-484-9028
Practice Address - Fax:402-256-6651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health