MEDICARE: OPEN ARMS CARING HEARTS, LLC

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1780359919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN ARMS CARING HEARTS, LLC

Provider Business Mailing Address
First Line	:	2518 N 48TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-2845
Country	:	US
Telephone Number	:	414-553-1925
Fax Number	:

Provider Business Practice Location Address
First Line	:	2518 N 48TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-2845
Country	:	US
Telephone Number	:	414-553-1925
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NACHLESELY JONES
Credential	:
Telephone Number	:	414-553-1925

Provider Enumeration Date	:	08/10/2021
Last Update Date	:	08/10/2021

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