NPIMap

Organization Active NPI

Open Arms Care Corporation

  • Intellectual Disabilities Intermediate Care Facility
  • Antioch, TN
National Provider Identifier
1053453985
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
I-323-011-092 Issued in TN
Legal business name
OPEN ARMS CARE CORPORATION
Practice address
6854 Burkitt Rd
Antioch, TN 37013-4701
Phone
(615) 941-1402
NPI assigned
Feb 14, 2007
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
James Wren
Title
Cfo
Phone
(615) 254-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X I-323-011-092 TN Primary

Addresses

Primary practice location

6854 Burkitt Rd
Antioch, TN 37013-4701

Mailing address

101 Westpark Dr Ste 140
Brentwood, TN 37027-5031
Phone (615) 254-4006

Other identifiers 1

IdentifierTypeStateIssuer
7447059MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053453985. Details of each certification follow.

  • CCN 44G043 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 44G043

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
OPEN ARMS CARE CORP
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Mar 28, 1991
Last certification
Mar 26, 2025
Beds
8
Ownership / control type
Private (non-profit)
Facility address
6854 Burkitt Road
Antioch, TN 37013

National Provider Directory

National Provider Directory
Tax ID family
Open Arms Care Corporation42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Locations

6854 Burkitt Rd
Antioch, TN 37013
Phone (615) 941-1402

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1053453985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WESTPARK DR STE 140",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275031",
            "telephone_number": "615-254-4006",
            "fax_number": "615-254-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6854 BURKITT RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134701",
            "telephone_number": "615-941-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-254-4006"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TN",
            "license": "I-323-011-092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7447059",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

Verify at the official NPI Registry.