Healthcare Provider Details

I. General information

NPI: 1992355465
Provider Name (Legal Business Name): OPEN ARMS & HEARTS HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2019
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1532 OCEAN HWY STE 101&102
POCOMOKE CITY MD
21851-3023
US

IV. Provider business mailing address

1532 OCEAN HWY
POCOMOKE CITY MD
21851-3023
US

V. Phone/Fax

Practice location:
  • Phone: 443-437-7128
  • Fax: 443-437-7131
Mailing address:
  • Phone: 443-437-7128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANNETTE E ROYER
Title or Position: CEO
Credential:
Phone: 443-437-7128