MEDICARE: OPEN ARMS HOME CARE

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	251E00000X	Home Health Agency

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	:	1427291400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN ARMS HOME CARE

Provider Business Mailing Address
First Line	:	3202 SUNSET AVE
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-3581
Country	:	US
Telephone Number	:	252-442-0600
Fax Number	:	252-442-9300

Provider Business Practice Location Address
First Line	:	1123 EVERGREEN DRIVE
Second Line	:
City	:	NASHVILLE
State	:	NC
Zip	:	27856-9320
Country	:	US
Telephone Number	:	252-904-8305
Fax Number	:	252-442-9300

Authorized Official
Title or Position	:	AGENCY DIRECTOR
Name	:	ALYSIA THOMAS CRAWLEY
Credential	:
Telephone Number	:	252-904-8305

Provider Enumeration Date	:	04/07/2009
Last Update Date	:	04/08/2009

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Directions to “OPEN ARMS HOME CARE ” Practice Location

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