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NPI Code Detail

MEDICARE: OPEN ARMS HOME CARE, LLC

MEDICARE: OPEN ARMS HOME CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11515OTHERVETERAN BENEFITS

General Provider Information

NPI Number : 1538877436
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPEN ARMS HOME CARE, LLC
Provider Business Mailing Address
First Line : 932 1/2 6TH ST
Second Line :
City : CLARKSTON
State : WA
Zip : 99403-2079
Country : US
Telephone Number : 208-791-2386
Fax Number : 509-295-8534
Provider Business Practice Location Address
First Line : 932 1/2 6TH ST
Second Line :
City : CLARKSTON
State : WA
Zip : 99403-2079
Country : US
Telephone Number : 208-791-2386
Fax Number : 509-295-8534
Authorized Official
Title or Position : MANAGER
Name : MICHELLE PARSON
Credential :
Telephone Number : 208-791-2386
Provider Enumeration Date : 11/09/2022
Last Update Date : 11/09/2022

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Directions to “OPEN ARMS HOME CARE, LLC ” Practice Location

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