Provider Demographics
NPI:1164261863
Name:OPEN ARMS
Entity type:Organization
Organization Name:OPEN ARMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:VALENTINE
Authorized Official - Middle Name:AMAH
Authorized Official - Last Name:BAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-415-4149
Mailing Address - Street 1:5804 ANNAPOLIS RD APT 907
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-2016
Mailing Address - Country:US
Mailing Address - Phone:443-415-4149
Mailing Address - Fax:
Practice Address - Street 1:6305 IVY LN STE 330
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-6349
Practice Address - Country:US
Practice Address - Phone:443-415-4149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No172V00000XOther Service ProvidersCommunity Health Worker
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness