Healthcare Provider Details

I. General information

NPI: 1063322147
Provider Name (Legal Business Name): OPEN HEART HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 HILL ST
CHESAPEAKE VA
23324-1124
US

IV. Provider business mailing address

1005 HILL ST
CHESAPEAKE VA
23324-1124
US

V. Phone/Fax

Practice location:
  • Phone: 757-235-4331
  • Fax:
Mailing address:
  • Phone: 757-235-4331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: JAELA MORRIS
Title or Position: CEO
Credential:
Phone: 757-235-4331