Provider Demographics
NPI:1689478877
Name:OPEN ARMS HOME AND PERSONAL CARE, LLC
Entity type:Organization
Organization Name:OPEN ARMS HOME AND PERSONAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAVONDA
Authorized Official - Middle Name:MYCHELLE
Authorized Official - Last Name:NORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-278-5557
Mailing Address - Street 1:354A STATE PARK RD
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-9017
Mailing Address - Country:US
Mailing Address - Phone:225-278-5557
Mailing Address - Fax:
Practice Address - Street 1:354A STATE PARK RD
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-9017
Practice Address - Country:US
Practice Address - Phone:225-278-5557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing CareGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or Welfare
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No253Z00000XAgenciesIn Home Supportive Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health
No282N00000XHospitalsGeneral Acute Care Hospital
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty