Healthcare Provider Details

I. General information

NPI: 1033228192
Provider Name (Legal Business Name): OPEN HEARTS ART CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 WOODLAND DR
ASHEVILLE NC
28806-1292
US

IV. Provider business mailing address

5 WOODLAND DR
ASHEVILLE NC
28806-1292
US

V. Phone/Fax

Practice location:
  • Phone: 828-505-8428
  • Fax: 828-505-8429
Mailing address:
  • Phone: 828-505-8428
  • Fax: 828-505-8429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberMHL-011-235
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License NumberMHL-011-235
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMHL-011-235
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License NumberMHL-011-235
License Number StateNC

VIII. Authorized Official

Name: MRS. JESSIE GORMAN FRANCIS
Title or Position: DIRECTOR/TREASURER
Credential:
Phone: 828-505-8428