Provider Demographics
NPI:1063243665
Name:OPEN ARMS HOME PRIMARY CARE LLC
Entity type:Organization
Organization Name:OPEN ARMS HOME PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARVELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-944-2119
Mailing Address - Street 1:715 S POWELL PKWY # 152
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-2586
Mailing Address - Country:US
Mailing Address - Phone:732-318-7465
Mailing Address - Fax:
Practice Address - Street 1:715 S POWELL PKWY # 152
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-2586
Practice Address - Country:US
Practice Address - Phone:732-318-7465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-13
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty