Provider Demographics
NPI:1538419320
Name:OPEN ARMS COMMUNITY CENTER
Entity type:Organization
Organization Name:OPEN ARMS COMMUNITY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:O
Authorized Official - Last Name:YAYA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:305-263-3259
Mailing Address - Street 1:5840 SW 8TH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WEST MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-5051
Mailing Address - Country:US
Mailing Address - Phone:305-263-3259
Mailing Address - Fax:305-263-3251
Practice Address - Street 1:5840 SW 8TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:WEST MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5051
Practice Address - Country:US
Practice Address - Phone:305-263-3259
Practice Address - Fax:305-263-3251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232628253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care