Provider Demographics
NPI:1427291400
Name:OPEN ARMS HOME CARE
Entity type:Organization
Organization Name:OPEN ARMS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALYSIA
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:CRAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-904-8305
Mailing Address - Street 1:3202 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-3581
Mailing Address - Country:US
Mailing Address - Phone:252-442-0600
Mailing Address - Fax:252-442-9300
Practice Address - Street 1:1123 EVERGREEN DRIVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:NC
Practice Address - Zip Code:27856-9320
Practice Address - Country:US
Practice Address - Phone:252-904-8305
Practice Address - Fax:252-442-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC3798Medicaid