Open Arms Youth & Family Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OPEN ARMS YOUTH & FAMILY SERVICES, LLC

Practice address

615 S New Hope Rd Ste 101
Gastonia, NC 28054-4808

Phone

(980) 207-3504

Fax

(980) 207-3505

NPI assigned

Jan 5, 2011

Last updated

Jan 5, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Octavia Devonne Shankle

Title

President/ Director

Phone

(704) 361-5395

Specialties & licenses 1

Addresses

Tax ID family

Open Arms Youth Family Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Open Arms Youth & Family Services, LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1033423272
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1033413109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544808",
            "telephone_number": "704-865-9795",
            "fax_number": "704-865-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW HOPE RD STE 101",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544808",
            "telephone_number": "980-207-3504",
            "fax_number": "980-207-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS YOUTH & FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "SHANKLE",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_middle_name": "DEVONNE",
        "authorized_official_title_or_position": "PRESIDENT/ DIRECTOR",
        "authorized_official_telephone_number": "704-361-5395",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.