Open Hearts Open Arms

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

OPEN HEARTS OPEN ARMS

Practice address

200 E Broadway Ave Ste B-31
Maryville, TN 37804-5709

Phone

(865) 324-6100

Fax

(865) 238-0313

NPI assigned

Aug 25, 2022

Organization subpart

No

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

Authorized official

Name

Jami Rene Andrus

Title

Assistant Executive Director

Phone

(865) 324-6101

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1043939655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BROADWAY AVE STE B-31",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045709",
            "telephone_number": "865-324-6100",
            "fax_number": "865-238-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E BROADWAY AVE STE B-31",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045709",
            "telephone_number": "865-324-6100",
            "fax_number": "865-238-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN HEARTS OPEN ARMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "ANDRUS",
        "authorized_official_first_name": "JAMI",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "ASSISTANT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "865-324-6101"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q053587",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Maryville, TN by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.