MEDICARE: OPEN ARMS CARE CORPORATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility	L-323-121-297	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225171796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN ARMS CARE CORPORATION

Provider Business Mailing Address
First Line	:	101 WESTPARK DR STE 140
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-5031
Country	:	US
Telephone Number	:	615-254-4006
Fax Number	:	615-254-4008

Provider Business Practice Location Address
First Line	:	3519 NORTH OCOEE STREET
Second Line	:	UNIT 2
City	:	CLEVELAND
State	:	TN
Zip	:	37312
Country	:	US
Telephone Number	:	423-961-2925
Fax Number	:	423-961-0648

Authorized Official
Title or Position	:	CFO
Name	:	JAMES WREN
Credential	:
Telephone Number	:	615-254-4006

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	10/03/2024

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Directions to “OPEN ARMS CARE CORPORATION ” Practice Location

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