MEDICARE: OPEN ARMS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	253Z00000X	In Home Supportive Care Agency
3	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1083844641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN ARMS, INC.

Provider Business Mailing Address
First Line	:	156 E MARKET ST
Second Line	:	SUITE 200
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-3290
Country	:	US
Telephone Number	:	317-441-2638
Fax Number	:	682-422-3134

Provider Business Practice Location Address
First Line	:	7231 CANA
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-6860
Country	:	US
Telephone Number	:	317-441-2638
Fax Number	:	682-422-3134

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. TENIKA PIEPER
Credential	:
Telephone Number	:	317-441-2638

Provider Enumeration Date	:	07/17/2009
Last Update Date	:	07/17/2009

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Directions to “OPEN ARMS, INC. ” Practice Location

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