Organization Active NPI

Open Arms Home Primary Care LLC

  • Family Nurse Practitioner
  • Anna, TX
National Provider Identifier
1063243665
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
OPEN ARMS HOME PRIMARY CARE LLC
Practice address
715 S Powell Pkwy # 152
Anna, TX 75409-2586
Phone
(732) 318-7465
NPI assigned
Aug 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Arvella Hill
Title
Office Administrator
Phone
(817) 944-2119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

715 S Powell Pkwy # 152
Anna, TX 75409-2586

Mailing address

715 S Powell Pkwy # 152
Anna, TX 75409-2586
Phone (732) 318-7465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250725003148 TX Part B Supplier - Clinic/Group Practice 3577070457 Receives reassigned benefits from 1 practitioner
Practice locations: Anna, TX

National Provider Directory

National Provider Directory

Locations

715 S Powell Pkwy
#152
Anna, TX 75409
Phone (732) 318-7465

715 S Powell Pkwy
Anna, TX 75409
Phone (732) 318-7465

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": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1063243665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S POWELL PKWY # 152",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754092586",
            "telephone_number": "732-318-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S POWELL PKWY # 152",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754092586",
            "telephone_number": "732-318-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS HOME PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ARVELLA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "817-944-2119"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.