MEDICARE: OPEN ARMS TCM

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		FL

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	:	1801217021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN ARMS TCM

Provider Business Mailing Address
First Line	:	1609 BANNING BEACH RD
Second Line	:
City	:	TAVARES
State	:	FL
Zip	:	32778-2024
Country	:	US
Telephone Number	:	352-742-8020
Fax Number	:	352-742-8025

Provider Business Practice Location Address
First Line	:	1609 BANNING BEACH RD
Second Line	:
City	:	TAVARES
State	:	FL
Zip	:	32778-2024
Country	:	US
Telephone Number	:	352-742-8020
Fax Number	:	352-742-8025

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. CAREA SHAVONNE GUNN
Credential	:	BA
Telephone Number	:	352-742-8020

Provider Enumeration Date	:	12/16/2013
Last Update Date	:	12/16/2013

Similar Medicare Providers

1558346262 — KENNETH E STARK M.D.
Practice Location Address:

1613 BANNING BEACH RD
TAVARES, FL
32778-2024

Practice Phone: 352-343-7735
Practice Fax: 352-343-7740

1053353086 — DR. VALERIE B THOMAS MD
Practice Location Address:

1603 BANNING BEACH RD
TAVARES, FL
32778-2024

Practice Phone: 352-343-2167
Practice Fax: 352-343-4699

1518011352 — TRIAD PSYCHOLOGICAL SERVICES, P.A.
Practice Location Address:

1609 BANNING BEACH RD
TAVARES, FL
32778-2024

Practice Phone: 352-343-2267
Practice Fax: 352-365-2323

1295916476 — KENNETH E STARK MD PA
Practice Location Address:

1613 BANNING BEACH RD
TAVARES, FL
32778-2024

Practice Phone: 352-343-7735
Practice Fax: 352-343-7740

1689918062 — CAREA SHAVONNE GUNN B.A
Practice Location Address:

1609 BANNING BEACH RD
TAVARES, FL
32778-2024

Practice Phone: 407-692-8940
Practice Fax:

1093054710 — MARY L TUCKER
Practice Location Address:

1601 BANNING BEACH RD
TAVARES, FL
32778-2024

Practice Phone: 352-742-8020
Practice Fax:

Directions to “OPEN ARMS TCM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.