NPIMap

Organization Active NPI

With Open Arms Residential Care LLC

  • In Home Supportive Care Agency
  • Portage, IN
National Provider Identifier
1033904859
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WITH OPEN ARMS RESIDENTIAL CARE LLC
Practice address
3333 Brown St
Portage, IN 46368-4748
Phone
(219) 718-6534
NPI assigned
Apr 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Kardetra RedmondNPI 1487449237
Title
Owner
Phone
(219) 718-6534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

3333 Brown St
Portage, IN 46368-4748

Mailing address

3333 Brown St
Portage, IN 46368-4748
Phone (219) 718-6534

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1033904859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BROWN ST",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463684748",
            "telephone_number": "219-718-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BROWN ST",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463684748",
            "telephone_number": "219-718-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITH OPEN ARMS RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "KARDETRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-718-6534"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.