Provider Demographics
NPI:1780579722
Name:WITH OPEN ARMS HOMECARE AZ LLC
Entity type:Organization
Organization Name:WITH OPEN ARMS HOMECARE AZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-653-9023
Mailing Address - Street 1:3557 W WHISPERING WIND DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85310-4319
Mailing Address - Country:US
Mailing Address - Phone:317-653-9023
Mailing Address - Fax:
Practice Address - Street 1:3557 W WHISPERING WIND DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85310-4319
Practice Address - Country:US
Practice Address - Phone:317-653-9023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health