Provider Demographics
NPI:1215072038
Name:OPEN ARMS CARE CORPORATION
Entity type:Organization
Organization Name:OPEN ARMS CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUGHTY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:615-244-4006
Mailing Address - Street 1:101 WESTPARK DR STE 140
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5031
Mailing Address - Country:US
Mailing Address - Phone:615-254-4006
Mailing Address - Fax:615-254-4008
Practice Address - Street 1:6715 HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-2643
Practice Address - Country:US
Practice Address - Phone:706-937-8160
Practice Address - Fax:706-937-8717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA176531085AMedicaid