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General NPI Number Information
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NPI Number | 1104504158
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Entity Type | Organization
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Legal Business Name | OPEN ARMS INDEPENDENT LIVING FACILITY LLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 2434 HEALY DR
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City | ORLANDO
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State | FL
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Zip | 32818-3108
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Country | US
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Telephone | 407-420-8716
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Fax | 407-286-5470
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Provider Business Mailing Address
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Address Line | 2434 HEALY DR
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City | ORLANDO
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State | FL
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Zip | 32818-3108
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Country | US
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Telephone | 407-866-5644
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Fax | 407-730-5366
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RENEE R JORDAN
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Credential |
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Telephone | 407-866-5644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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