Healthcare Provider Details

I. General information

NPI: 1902949589
Provider Name (Legal Business Name): OPEN ARMS CARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11419 HIGHWAY 58
GEORGETOWN TN
37336-4040
US

IV. Provider business mailing address

101 WESTPARK DR STE 140
BRENTWOOD TN
37027-5031
US

V. Phone/Fax

Practice location:
  • Phone: 423-344-5711
  • Fax: 423-344-5512
Mailing address:
  • Phone: 615-254-4006
  • Fax: 615-254-4008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License NumberL-323-121-323
License Number StateTN

VIII. Authorized Official

Name: JAMES WREN
Title or Position: CEO
Credential:
Phone: 615-254-4006