Healthcare Provider Details

I. General information

NPI: 1497091466
Provider Name (Legal Business Name): OPEN ARMS AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2012
Last Update Date: 12/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 S REYNOLDS RD
TOLEDO OH
43615-5999
US

IV. Provider business mailing address

360 S REYNOLDS RD
TOLEDO OH
43615-5999
US

V. Phone/Fax

Practice location:
  • Phone: 419-917-6185
  • Fax: 567-455-6431
Mailing address:
  • Phone: 419-917-6185
  • Fax: 567-455-6431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number4803761
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number4803761
License Number StateOH

VIII. Authorized Official

Name: MRS. MELISSA SILER-STOLL
Title or Position: PRESIDENT
Credential:
Phone: 419-917-6185