Healthcare Provider Details

I. General information

NPI: 1538877436
Provider Name (Legal Business Name): OPEN ARMS HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2022
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 1/2 6TH ST
CLARKSTON WA
99403-2079
US

IV. Provider business mailing address

932 1/2 6TH ST
CLARKSTON WA
99403-2079
US

V. Phone/Fax

Practice location:
  • Phone: 208-791-2386
  • Fax: 509-295-8534
Mailing address:
  • Phone: 208-791-2386
  • Fax: 509-295-8534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE PARSON
Title or Position: MANAGER
Credential:
Phone: 208-791-2386