Healthcare Provider Details

I. General information

NPI: 1316287410
Provider Name (Legal Business Name): OPEN ARMS HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2013
Last Update Date: 02/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 SOUTH ST
FRANKLIN VA
23851-1948
US

IV. Provider business mailing address

212 RALEIGH AVE
SUFFOLK VA
23434-5435
US

V. Phone/Fax

Practice location:
  • Phone: 757-605-8603
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. JEWEL BAILEY
Title or Position: ADMINISTRATOR
Credential:
Phone: 757-605-8603