Healthcare Provider Details

I. General information

NPI: 1538080098
Provider Name (Legal Business Name): OPEN ARMS FAMILY HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16620 N 40TH ST STE G3
PHOENIX AZ
85032-3351
US

IV. Provider business mailing address

16620 N 40TH ST STE G3
PHOENIX AZ
85032-3351
US

V. Phone/Fax

Practice location:
  • Phone: 480-885-7984
  • Fax:
Mailing address:
  • Phone: 480-885-7984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PARITA JAVIA
Title or Position: DIRECTOR
Credential: FNP-C
Phone: 602-931-8957