Provider Demographics
NPI:1538877436
Name:OPEN ARMS HOME CARE, LLC
Entity type:Organization
Organization Name:OPEN ARMS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-791-2386
Mailing Address - Street 1:932 1/2 6TH ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:WA
Mailing Address - Zip Code:99403-2079
Mailing Address - Country:US
Mailing Address - Phone:208-791-2386
Mailing Address - Fax:509-295-8534
Practice Address - Street 1:932 1/2 6TH ST
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:WA
Practice Address - Zip Code:99403-2079
Practice Address - Country:US
Practice Address - Phone:208-791-2386
Practice Address - Fax:509-295-8534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1515OtherVETERAN BENEFITS