Open Arms Christian Ministries

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

155516933 43620 Issued in IN

Legal business name

OPEN ARMS CHRISTIAN MINISTRIES

Practice address

4516 W State Road 54
Bloomfield, IN 47424-5207

Phone

(812) 659-2533

Fax

(812) 659-2477

NPI assigned

Oct 28, 2010

Last updated

Jul 5, 2013By 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

Mr. Martin Corey, MAMFT

Title

Executive Director

Phone

(812) 659-2533

Specialties & licenses 2

Addresses

Other identifiers 4

Tax ID family

Open Arms Christian Ministries2 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 Christian Ministries, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Bloomfield, IN
  • NPI 1578897773
  NPD tax ID

Locations

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1083914717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 W STATE ROAD 54",
            "city": "BLOOMFIELD",
            "state": "IN",
            "postal_code": "474245207",
            "telephone_number": "812-659-2533",
            "fax_number": "812-659-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 W STATE ROAD 54",
            "city": "BLOOMFIELD",
            "state": "IN",
            "postal_code": "474245207",
            "telephone_number": "812-659-2533",
            "fax_number": "812-659-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS CHRISTIAN MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-659-2533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAMFT"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IN",
            "license": "155516933 43620",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Bloomfield, IN
• Providers in Bloomfield, IN by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.