MEDICARE: WITH OPEN ARMS GROUP HOME, INC

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1407709280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WITH OPEN ARMS GROUP HOME, INC

Provider Business Mailing Address
First Line	:	15110 SW 299TH ST
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33033-3783
Country	:	US
Telephone Number	:	305-505-0426
Fax Number	:

Provider Business Practice Location Address
First Line	:	15110 SW 299TH ST
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33033-3783
Country	:	US
Telephone Number	:	305-505-0426
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HEIDY MOREJON
Credential	:
Telephone Number	:	305-505-0426

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “WITH OPEN ARMS GROUP HOME, INC ” Practice Location

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