MEDICARE: OPENARMS HOMECARE

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		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	47-5201308	OTHER	PA	HOME HEALTH CARE

General Provider Information

NPI Number	:	1508236761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPENARMS HOMECARE

Provider Business Mailing Address
First Line	:	6231 W JEFFERSON ST APT 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-4532
Country	:	US
Telephone Number	:	215-694-6253
Fax Number	:

Provider Business Practice Location Address
First Line	:	6231 W JEFFERSON ST APT 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-4532
Country	:	US
Telephone Number	:	215-694-6253
Fax Number	:

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MS. RACHEL PEREZ
Credential	:
Telephone Number	:	215-694-6253

Provider Enumeration Date	:	09/30/2015
Last Update Date	:	09/30/2015

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Directions to “OPENARMS HOMECARE ” Practice Location

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